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General NPI Number Information
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NPI Number | 1740442201
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Entity Type | Individual
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Provider Name | JAMES F KEANE D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | 75 COLONIA DE SALUD SUITE 200A
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2487
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Country | US
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Telephone | 520-458-8145
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Fax | 520-458-8908
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Provider Business Mailing Address
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Address Line | 1925 W ORANGE GROVE RD STE 201
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City | TUCSON
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State | AZ
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Zip | 85704-1151
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Country | US
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Telephone | 520-458-8145
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Fax | 520-458-8908
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 005331
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License Number State | AZ
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