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General NPI Number Information
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NPI Number | 1730605221
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Entity Type | Individual
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Provider Name | KELI R DEAN MS, RN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 4000 SPENCER HWY
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City | PASADENA
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State | TX
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Zip | 77504-1202
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Country | US
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Telephone | 713-359-1373
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Fax |
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Provider Business Mailing Address
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Address Line | 3603 HUMMINGBIRD LN
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City | ALVIN
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State | TX
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Zip | 77511-7311
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Country | US
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Telephone | 281-414-2642
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP134686
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | AP134686
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License Number State | TX
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