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General NPI Number Information
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NPI Number | 1992945422
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Entity Type | Organization
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Legal Business Name | H. B. KESHAVA, M.D., P.C.
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 1185 COUNTY HIGHWAY 122
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-6140
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Country | US
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Telephone | 518-752-5160
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Fax | 518-752-5160
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Provider Business Mailing Address
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Address Line | 1185 COUNTY HIGHWAY 122
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-6140
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Country | US
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Telephone | 518-752-5160
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Fax | 518-752-5160
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Authorized Official
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Title or Position | PHYSICIAN
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Name | H. B. KESHAVA,
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Credential | M.D., P.C.
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Telephone | 518-752-5160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 19483
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License Number State | NY
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