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General NPI Number Information
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NPI Number | 1730783382
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Entity Type | Individual
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Provider Name | HEATHER KEATING PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 2021 GUADALUPE ST
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City | AUSTIN
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State | TX
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Zip | 78705-5654
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Country | US
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Telephone | 512-469-2968
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 HILLSIDE DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-3686
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 59090
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License Number State | TX
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