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General NPI Number Information
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NPI Number | 1558807602
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Entity Type | Organization
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Legal Business Name | LINDA KEENE INC
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 5232 NE 2ND TER
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City | OAKLAND PARK
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State | FL
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Zip | 33334-1683
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Country | US
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Telephone | 954-895-4695
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Fax |
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Provider Business Mailing Address
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Address Line | 5232 NE 2ND TER
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City | OAKLAND PARK
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State | FL
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Zip | 33334-1683
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Country | US
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Telephone | 954-895-4695
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. LINDA LOUISE KEENE
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Credential | MSPT
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Telephone | 954-895-4695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT17234
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License Number State | FL
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