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General NPI Number Information
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NPI Number | 1922141712
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Entity Type | Individual
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Provider Name | JENNIFER KEEGAN MPT
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 15400 127TH ST SUITE C
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City | LEMONT
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State | IL
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Zip | 60439-8408
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Country | US
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Telephone | 630-257-9787
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Fax | 630-257-9947
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Provider Business Mailing Address
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Address Line | 15400 E 127TH ST STE. C
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City | LEMONT
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State | IL
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Zip | 60439-8408
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | IL
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