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General NPI Number Information
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NPI Number | 1689925638
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Entity Type | Organization
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Legal Business Name | LEE KEENEN DPM PLLC
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Dates
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Enumeration Date | 09/29/2012
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Last Update Date | 04/21/2013
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Provider Practice Location Address
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Address Line | 1162 E SONTERRA BLVD SUITE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4047
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Country | US
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Telephone | 210-865-2737
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1328
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City | DEL RIO
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State | TX
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Zip | 78841-1328
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Country | US
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Telephone | 210-865-2737
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. LEE THOMAS KEENEN JR.
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Credential | DPM
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Telephone | 210-865-2737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1925
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License Number State | TX
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