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General NPI Number Information
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NPI Number | 1548541824
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Entity Type | Individual
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Provider Name | ANASTACIA KEENAN CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 21444 CARMEAN WAY
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City | GEORGETOWN
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State | DE
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Zip | 19947-4572
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Country | US
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Telephone | 302-855-1233
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Fax |
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Provider Business Mailing Address
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Address Line | 21444 CARMEAN WAY
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City | GEORGETOWN
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State | DE
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Zip | 19947-4572
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Country | US
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Telephone | 302-855-1233
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 100046
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | LJ-0000291
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License Number State | DE
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