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General NPI Number Information
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NPI Number | 1912189135
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Entity Type | Individual
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Provider Name | JAMES P KEEGAN RPH
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Gender | Male
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 4502 108TH ST
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City | CORONA
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State | NY
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Zip | 11368-2917
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Country | US
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Telephone | 718-847-1982
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Fax | 718-228-4985
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Provider Business Mailing Address
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Address Line | 21 HAIGHT ST
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City | DEER PARK
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State | NY
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Zip | 11729-3113
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Country | US
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Telephone | 631-601-9279
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 039749
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License Number State | NY
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