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General NPI Number Information
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NPI Number | 1740992288
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Entity Type | Individual
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Provider Name | TRENTON KEELER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 67 LINCOLN BLVD
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City | LINCOLN
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State | CA
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Zip | 95648-9389
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Country | US
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Telephone | 916-408-0810
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Fax |
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Provider Business Mailing Address
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Address Line | 2821 SOUTHCREEK DR
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City | LINCOLN
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State | CA
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Zip | 95648-8284
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Country | US
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Telephone | 916-919-7271
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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 | 87484
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License Number State | CA
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