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NPI 1700283587

NPI 1700283587 : CATHERINE O'KEEFE D.V.M. : PRAIRIE VIEW, IL

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General NPI Number Information
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    NPI Number           |    1700283587
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE O'KEEFE D.V.M.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2014
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    Last Update Date     |    11/22/2014
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Provider Practice Location Address
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    Address Line         |    22096 N PET LN 
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    City                 |    PRAIRIE VIEW
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    State                |    IL
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    Zip                  |    60069-4112
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    Country              |    US
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    Telephone            |    847-634-9444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22096 N PET LN 
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    City                 |    PRAIRIE VIEW
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    State                |    IL
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    Zip                  |    60069-4112
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    Country              |    US
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    Telephone            |    847-634-9444
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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        |    174M00000X
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    Taxonomy Name        |    Veterinarian
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    License Number       |    090008890
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    License Number State |    IL
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