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General NPI Number Information
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NPI Number | 1417979709
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Entity Type | Individual
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Provider Name | REBECCA ANNE KEITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2651 E DISCOVERY PKWY
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9059
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Country | US
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Telephone | 812-918-3400
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Fax | 812-918-5829
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Provider Business Mailing Address
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Address Line | 602 FROW DR
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City | ELGIN
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State | SC
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Zip | 29045-7153
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Country | US
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Telephone | 864-884-6022
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18307
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01040677A
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License Number State | IN
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