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General NPI Number Information
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NPI Number | 1578838371
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Entity Type | Organization
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Legal Business Name | KEAN CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 607 PARK GROVE DRIVE SUITE B
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-647-7703
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Fax | 281-647-7706
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Provider Business Mailing Address
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Address Line | 607 PARK GROVE DRIVE SUITE B
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-647-7703
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Fax | 281-647-7706
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN F. KEAN
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Credential | D.C.
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Telephone | 713-492-8340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10911
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License Number State | TX
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