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General NPI Number Information
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NPI Number | 1689677817
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Entity Type | Individual
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Provider Name | PAUL M KELLER MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 2222 S HARBOR CITY BLVD STE 420
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City | MELBOURNE
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State | FL
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Zip | 32901-5591
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Country | US
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Telephone | 321-768-9914
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Fax | 321-953-1893
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Provider Business Mailing Address
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Address Line | 2222 S HARBOR CITY BLVD STE 420
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City | MELBOURNE
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State | FL
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Zip | 32901-5591
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Country | US
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Telephone | 321-768-9914
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Fax | 321-953-1893
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME65934
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME65934
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License Number State | FL
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