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General NPI Number Information
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NPI Number | 1871042218
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Entity Type | Individual
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Provider Name | MAUREEN ANN KEATING LPCC-S, LICDC-CS
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 04/19/2019
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Provider Practice Location Address
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Address Line | 838 COBURN ST
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City | AKRON
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State | OH
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Zip | 44311-1459
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Country | US
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Telephone | 330-315-3742
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Fax | 330-208-2136
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Provider Business Mailing Address
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Address Line | 838 COBURN ST
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City | AKRON
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State | OH
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Zip | 44311-1459
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Country | US
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Telephone | 330-315-3742
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Fax | 330-208-2136
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E1907
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 954363
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License Number State | OH
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