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General NPI Number Information
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NPI Number | 1497437008
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Entity Type | Individual
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Provider Name | ERIC BERNARD MCKEITHAN
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Gender | Male
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 3217 ADAMS MILL RD NW
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City | WASHINGTON
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State | DC
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Zip | 20010-1008
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Country | US
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Telephone | 202-644-2481
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 JAY ST NE APT 4
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City | WASHINGTON
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State | DC
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Zip | 20019-1850
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Country | US
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Telephone | 202-499-8180
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4802007
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License Number State | DC
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