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NPI 1568318400

NPI 1568318400 : DEANN DANA KEATING NP : CORONADO, CA

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General NPI Number Information
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    NPI Number           |    1568318400
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    Entity Type          |    Individual 
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    Provider Name        |    DEANN DANA KEATING NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/04/2026
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    Last Update Date     |    03/04/2026
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Provider Practice Location Address
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    Address Line         |    1003 ISABELLA AVE 
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    City                 |    CORONADO
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    State                |    CA
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    Zip                  |    92118-2863
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    Country              |    US
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    Telephone            |    619-909-6033
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 181679 
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    City                 |    CORONADO
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    State                |    CA
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    Zip                  |    92178-1679
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    Country              |    US
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    Telephone            |    619-909-6033
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    335831
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95036706
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    License Number State |    CA
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