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General NPI Number Information
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NPI Number | 1447796644
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Entity Type | Organization
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Legal Business Name | ANNA V. O'KEEFE, DMD, P.A.
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 325D KENNEDY MEMORIAL DR
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City | WATERVILLE
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State | ME
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Zip | 04901-4530
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Country | US
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Telephone | 207-872-8911
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Fax | 207-872-6967
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Provider Business Mailing Address
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Address Line | 325D KENNEDY MEMORIAL DR
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City | WATERVILLE
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State | ME
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Zip | 04901-4530
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Country | US
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Telephone | 207-872-8911
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Fax | 207-872-6967
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Authorized Official
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Title or Position | MANAGER
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Name | BRENDAN O'KEEFE
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Credential |
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Telephone | 207-872-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4189
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License Number State | ME
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