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General NPI Number Information
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NPI Number | 1548320211
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Entity Type | Individual
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Provider Name | KEITH L HIATT MD MPH
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | KELLER ARMY COMMUNITY HOSPITAL 900 WASHINGTON ROAD ATTN CREDENTIALS
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City | WEST POINT MILITARY RESERVATION
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State | NY
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Zip | 10996-0001
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Country | US
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Telephone | 845-938-3470
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Fax | 845-938-6660
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Provider Business Mailing Address
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Address Line | KELLER ARMY COMMUNITY HOSPITAL 900 WASHINGTON ROAD ATTN CREDENTIALS
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City | WEST POINT MILITARY RESERVATION
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State | NY
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Zip | 10996-0001
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Country | US
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Telephone | 845-938-3470
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Fax | 845-938-6660
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 031440
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 031440
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License Number State | CT
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