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General NPI Number Information
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NPI Number | 1467726166
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Entity Type | Individual
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Provider Name | ANGELA D KEEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 323 N SHORE DR SUITE 400
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City | PITTSBURGH
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State | PA
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Zip | 15212-5319
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Country | US
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Telephone | 412-310-8561
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Fax |
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Provider Business Mailing Address
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Address Line | 323 N SHORE DR SUITE 400
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City | PITTSBURGH
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State | PA
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Zip | 15212-5319
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Country | US
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Telephone | 412-310-8561
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS008298L
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License Number State | PA
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