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General NPI Number Information
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NPI Number | 1881146207
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Entity Type | Organization
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Legal Business Name | KEENE MEDICAL PRODUCTS LLC
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 5 LANDING RD
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City | ENFIELD
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State | NH
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Zip | 03748-3545
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Country | US
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Telephone | 603-448-5290
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Fax | 603-632-8988
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Provider Business Mailing Address
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Address Line | 5 LANDING RD
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City | ENFIELD
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State | NH
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Zip | 03748-3545
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Country | US
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Telephone | 603-448-5290
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Fax | 603-632-8988
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Authorized Official
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Title or Position | OWER
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Name | MR. KEITH FILIAULT
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Credential |
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Telephone | 603-448-5290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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