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General NPI Number Information
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NPI Number | 1922556810
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Entity Type | Organization
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Legal Business Name | ROBERT KEISLING M.D.
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 1325 G ST NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20005-3136
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Country | US
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Telephone | 202-449-7730
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 G ST NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20005-3136
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Country | US
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Telephone | 202-449-7730
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT KEISLING
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Credential | M.D.
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Telephone | 202-449-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | MD25829
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License Number State | DC
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