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General NPI Number Information
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NPI Number | 1992095731
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Entity Type | Individual
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Provider Name | LAUREN GEORGIADES KEENEY DO
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 937 E HAVERFORD RD STE 100
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City | BRYN MAWR
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State | PA
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Zip | 19010-3800
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Country | US
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Telephone | 732-742-1204
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Fax |
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Provider Business Mailing Address
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Address Line | 937 E HAVERFORD RD STE 100
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City | BRYN MAWR
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State | PA
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Zip | 19010-3800
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Country | US
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Telephone | 732-742-1204
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OT014016
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 278308-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 158312
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 76842
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License Number State | WI
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