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General NPI Number Information
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NPI Number | 1962338137
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Entity Type | Individual
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Provider Name | ZACHARY ETHAN KEEL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 425 N SPRING ST
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City | SPARTA
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State | TN
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Zip | 38583-1323
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Country | US
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Telephone | 931-837-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 753
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City | MCMINNVILLE
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State | TN
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Zip | 37111-0753
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Country | US
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Telephone | 931-570-1310
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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 | 49921
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License Number State | TN
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