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General NPI Number Information
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NPI Number | 1922715572
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Entity Type | Organization
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Legal Business Name | KEENE VISION LLC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1030 ROBIN LN
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City | ROCK HILL
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State | SC
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Zip | 29730-7631
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Country | US
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Telephone | 803-670-5367
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Fax | 803-902-2033
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Provider Business Mailing Address
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Address Line | 1030 ROBIN LN
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City | ROCK HILL
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State | SC
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Zip | 29730-7631
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Country | US
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Telephone | 803-670-5336
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Fax | 803-902-2033
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Authorized Official
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Title or Position | OPTICIAN OWNER
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Name | MRS. KARI ELISE KEENE
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Credential | LDO
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Telephone | 803-670-5336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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