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NPI 1972586030

NPI 1972586030 : DEBORAH R. KEEPERS DDS : HELOTES, TX

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General NPI Number Information
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    NPI Number           |    1972586030
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH R. KEEPERS DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/22/2005
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    Last Update Date     |    06/15/2021
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Provider Practice Location Address
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    Address Line         |    15876 BANDERA RD 
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    City                 |    HELOTES
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    State                |    TX
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    Zip                  |    78023-3726
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    Country              |    US
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    Telephone            |    210-695-2888
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    Fax                  |    210-695-3455
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Provider Business Mailing Address
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    Address Line         |    15876 BANDERA RD 
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    City                 |    HELOTES
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    State                |    TX
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    Zip                  |    78023-3726
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    Country              |    US
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    Telephone            |    210-695-2888
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    Fax                  |    210-695-3455
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    18664
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    18664
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    License Number State |    TX
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