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General NPI Number Information
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NPI Number | 1467809426
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Entity Type | Individual
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Provider Name | JENNIFER KEEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 800 WALNUT ST FL 9
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5176
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Country | US
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Telephone | 215-829-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 834 CHESTNUT ST APT 712
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5138
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11018714A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD477305
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License Number State | PA
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