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General NPI Number Information
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NPI Number | 1821051269
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Entity Type | Individual
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Provider Name | ROBERT E. KEETON MD
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 120 MEDICAL DR
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City | MOUNT JACKSON
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State | VA
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Zip | 22842-9417
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Country | US
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Telephone | 540-477-3185
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Fax | 540-477-2666
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Provider Business Mailing Address
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Address Line | PO BOX 1430
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City | HARRISONBURG
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State | VA
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Zip | 22803-1430
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Country | US
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Telephone | 540-564-5791
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Fax | 540-564-7038
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101051846
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License Number State | VA
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