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General NPI Number Information
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NPI Number | 1811514128
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Entity Type | Individual
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Provider Name | ALEXIS KEENAN DO
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Gender | Female
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 6955 N MESA ST STE 200
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City | EL PASO
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State | TX
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Zip | 79912-4424
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Country | US
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Telephone | 833-339-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 14545 MEADOW LAWN
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City | EL PASO
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State | TX
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Zip | 79938-4531
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | V4393
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License Number State | TX
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