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NPI 1902068281

NPI 1902068281 : DEBORAH KELLER MD : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1902068281
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH KELLER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2008
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    8415 N PIMA RD STE 288 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-4488
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    Country              |    US
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    Telephone            |    480-947-3533
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    Fax                  |    480-947-3531
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Provider Business Mailing Address
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    Address Line         |    8415 N PIMA RD STE 288 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85258-4488
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    Country              |    US
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    Telephone            |    480-947-3533
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    Fax                  |    480-947-3531
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    MT190874
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    77328
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    Q5002
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    208C00000X
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    Taxonomy Name        |    Colon & Rectal Surgery Physician
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    License Number       |    288458
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    License Number State |    NY
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Taxonomy #5
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    Taxonomy Code        |    208C00000X
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    Taxonomy Name        |    Colon & Rectal Surgery Physician
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    License Number       |    Q5002
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    208C00000X
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    Taxonomy Name        |    Colon & Rectal Surgery Physician
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    License Number       |    77328
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    License Number State |    CT
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