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General NPI Number Information
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NPI Number | 1609061332
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Entity Type | Organization
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Legal Business Name | KEITH & ASSOCIATES, INC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 115 W 3RD ST STE 800
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City | TULSA
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State | OK
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Zip | 74103-3421
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Country | US
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Telephone | 918-585-3045
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Fax | 918-585-3047
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Provider Business Mailing Address
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Address Line | 115 W 3RD ST STE 800
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City | TULSA
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State | OK
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Zip | 74103-3421
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Country | US
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Telephone | 918-585-3045
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Fax | 918-585-3047
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANDRA KEITH
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Credential | MPH RD/LD
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Telephone | 918-585-3045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 611
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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