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General NPI Number Information
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NPI Number | 1609407394
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Entity Type | Individual
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Provider Name | RENEE MARIE KEENE NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 02/02/2020
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Provider Practice Location Address
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Address Line | 1111 COLUMBUS ST
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City | BAKERSFIELD
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State | CA
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Zip | 93305-1936
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Country | US
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Telephone | 661-326-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 13104 SUNLIGHT STAR ST
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City | BAKERSFIELD
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State | CA
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Zip | 93314-8478
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Country | US
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Telephone | 661-304-2899
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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 | 95013829
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License Number State | CA
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