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General NPI Number Information
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NPI Number | 1760726517
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Entity Type | Organization
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Legal Business Name | ROBERT C KEELEY MD
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Dates
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Enumeration Date | 11/18/2012
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1315 2ND ST SW STE 101
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City | ROANOKE
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State | VA
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Zip | 24016-4944
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Country | US
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Telephone | 540-342-6701
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Fax | 540-342-6172
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Provider Business Mailing Address
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Address Line | 1315 2ND ST SW STE 101
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City | ROANOKE
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State | VA
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Zip | 24016-4944
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Country | US
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Telephone | 540-342-6701
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Fax | 540-342-6172
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT C KEELEY
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Credential | MD
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Telephone | 540-342-6701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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