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General NPI Number Information
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NPI Number | 1457075038
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Entity Type | Organization
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Legal Business Name | KEELS FAMILY AND COSMETIC DENTISTRY
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 600 SQUIRES PT
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City | DUNCAN
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State | SC
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Zip | 29334-8868
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Country | US
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Telephone | 864-661-6365
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Fax | 864-661-6370
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Provider Business Mailing Address
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Address Line | 600 SQUIRES PT
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City | DUNCAN
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State | SC
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Zip | 29334-8868
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Country | US
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Telephone | 864-661-6365
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Fax | 864-661-6370
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | ROBERT L KEELS
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Credential | DMD
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Telephone | 864-661-6365
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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 |
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License Number State |
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