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General NPI Number Information
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NPI Number | 1598156135
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Entity Type | Individual
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Provider Name | LINDSAY KEEN CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 129 WILDOAK DR
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City | IRONDALE
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State | AL
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Zip | 35210-2605
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Country | US
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Telephone | 205-975-2635
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Fax |
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Provider Business Mailing Address
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Address Line | 129 WILDOAK DR
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City | IRONDALE
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State | AL
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Zip | 35210-2605
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Country | US
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Telephone | 205-901-9799
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-123316
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License Number State | AL
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