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General NPI Number Information
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NPI Number | 1750537353
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Entity Type | Individual
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Provider Name | LANA DIANE KEESLER FNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 1951 N WILMOT RD BLDG 4
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City | TUCSON
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State | AZ
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Zip | 85712-8001
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Country | US
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Telephone | 520-318-1114
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Fax | 520-318-4693
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Provider Business Mailing Address
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Address Line | PO BOX 31235
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City | TUCSON
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State | AZ
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Zip | 85751-1235
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Country | US
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Telephone | 520-324-2308
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Fax | 520-324-1406
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3041
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License Number State | AZ
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