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General NPI Number Information
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NPI Number | 1427361609
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Entity Type | Individual
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Provider Name | KEITH CONDICT
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Gender | Male
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 121 MALABU DR STE 3
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City | LEXINGTON
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State | KY
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Zip | 40503-3143
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Country | US
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Telephone | 859-278-7212
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Fax |
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Provider Business Mailing Address
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Address Line | 421 MADISON AVE
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City | COVINGTON
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State | KY
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Zip | 41011-1519
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Country | US
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Telephone | 513-576-5439
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HAS-7995
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 298593
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License Number State | KY
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