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General NPI Number Information
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NPI Number | 1730745167
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Entity Type | Individual
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Provider Name | KEANAN DOWELL
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Gender | Male
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 6500 HARRIS PKWY
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City | FT WORTH
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State | TX
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Zip | 76132-4136
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Country | US
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Telephone | 817-263-2600
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Fax | 817-263-2605
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10068785
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | V6578
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License Number State | TX
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