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General NPI Number Information
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NPI Number | 1649470535
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Entity Type | Organization
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Legal Business Name | KEITH CHIROPRACTIC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 3107 S IH 35 STE 787
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City | ROUND ROCK
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State | TX
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Zip | 78664-9345
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Country | US
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Telephone | 512-835-1846
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Fax | 512-716-0384
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Provider Business Mailing Address
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Address Line | 3107 S IH 35 STE 787
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City | ROUND ROCK
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State | TX
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Zip | 78664-9345
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Country | US
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Telephone | 512-835-1846
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Fax | 512-716-0384
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | WILLIAM C KEITH
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Credential | DC
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Telephone | 512-835-1846
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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 | TX8901
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License Number State | TX
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