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General NPI Number Information
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NPI Number | 1730553371
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Entity Type | Individual
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Provider Name | MARY ELIZABETH KEYES PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 14 CEDAR ST # 107A
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City | AMESBURY
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State | MA
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Zip | 01913-1831
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Country | US
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Telephone | 978-358-1898
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Fax | 978-358-1899
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Provider Business Mailing Address
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Address Line | 14 CEDAR ST # 107A
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City | AMESBURY
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State | MA
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Zip | 01913-1831
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Country | US
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Telephone | 978-358-1898
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Fax | 978-358-1899
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 088764-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2371789
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License Number State | MA
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