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General NPI Number Information
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NPI Number | 1497873673
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Entity Type | Individual
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Provider Name | ANN KEYSER PTA
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 26 RIDGE WOOD DR
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City | MONROE
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State | OH
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Zip | 45050-1092
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Country | US
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Telephone | 302-399-7004
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Fax |
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Provider Business Mailing Address
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Address Line | 26 RIDGE WOOD DR
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City | MONROE
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State | OH
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Zip | 45050-1092
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Country | US
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Telephone | 302-399-7004
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | CP031087A
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 0605144
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License Number State | OH
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