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General NPI Number Information
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NPI Number | 1568249928
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Entity Type | Individual
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Provider Name | JULIA MAE KEEDER
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Gender | Female
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 340 OXFORD ST STE 200A
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City | DOVER
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State | OH
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Zip | 44622-1965
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Country | US
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Telephone | 330-440-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 1074 TOWNSHIP ROAD 203
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City | BLOOMINGDALE
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State | OH
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Zip | 43910-7822
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Country | US
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Telephone | 740-317-0226
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | APRN.CNP.0034751
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License Number State | OH
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