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General NPI Number Information
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NPI Number | 1497700884
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Entity Type | Organization
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Legal Business Name | FIRST K. CRAIG KEATE DDS LTD
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4610 N GARFIELD ST #B-12
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City | MIDLAND
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State | TX
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Zip | 79705-2663
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Country | US
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Telephone | 432-682-8941
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Fax | 432-570-8053
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Provider Business Mailing Address
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Address Line | 4610 N GARFIELD ST #B-12
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City | MIDLAND
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State | TX
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Zip | 79705-2663
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Country | US
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Telephone | 432-682-8941
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Fax | 432-570-8053
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. K. CRAIG KEATE
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Credential | DDS
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Telephone | 432-682-8941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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