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General NPI Number Information
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NPI Number | 1871422808
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Entity Type | Individual
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Provider Name | THERESA KEANE R.N., B.S.N. R.N.C.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 4567 E 9TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3908
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Country | US
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Telephone | 303-320-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 S DAYTON WAY APT 2208
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City | DENVER
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State | CO
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Zip | 80231-3918
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Country | US
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Telephone | 303-320-2550
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 1635475
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License Number State | CO
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