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General NPI Number Information
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NPI Number | 1720997307
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Entity Type | Organization
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Legal Business Name | KEASCHE INTEGRATED SERVICES, LLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 100 WEYMOUTH ST STE D
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City | ROCKLAND
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State | MA
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Zip | 02370-1145
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Country | US
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Telephone | 800-711-9373
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Fax | 800-711-9373
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Provider Business Mailing Address
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Address Line | 500 WESTGATE DR # 1182
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City | BROCKTON
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State | MA
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Zip | 02301-1855
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Country | US
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Telephone | 800-711-9373
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Fax | 800-711-9373
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Authorized Official
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Title or Position | OWNER, ADVANCED PRACTICE REG. NURSE
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Name | MS. ZAKISHA A GODFREY
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Credential | APRN
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Telephone | 800-711-9373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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