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General NPI Number Information
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NPI Number | 1437251519
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Entity Type | Individual
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Provider Name | GALEN MARTIN KEENEY MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 900 BRYAN STREET, SUITE 5 INTEGRATED BEHAVIORAL HEALTHCARE D/B/A HUNTINGDON COUNS
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City | HUNTINGDON
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State | PA
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Zip | 16652
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Country | US
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Telephone | 814-643-6300
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Fax | 814-643-8776
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Provider Business Mailing Address
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Address Line | 900 BRYAN STREET, SUITE 5 INTEGRATED BEHAVIORAL HEALTHCARE D/B/A HUNTINGDON COUNS
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City | HUNTINGDON
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State | PA
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Zip | 16652
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Country | US
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Telephone | 814-643-6300
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Fax | 814-643-8776
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD052653L
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License Number State | PA
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