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General NPI Number Information
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NPI Number | 1528704921
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Entity Type | Organization
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Legal Business Name | KEITH A NORVILL DO LOCUM TENENS
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 180 MEDICAL PARK PL STE 201
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8067
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Country | US
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Telephone | 719-248-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 122 GARDEN EDGE DR
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6084
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Country | US
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Telephone | 719-248-4260
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. KEITH ALLEN NORVILL
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Credential | DO
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Telephone | 719-248-4260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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