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General NPI Number Information
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NPI Number | 1346694395
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Entity Type | Organization
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Legal Business Name | KEY LEARNING CONCEPTS LLC
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 23 EAST M STREET
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City | SPARKS
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State | NV
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Zip | 89431
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Country | US
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Telephone | 775-323-7000
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Fax | 775-324-2322
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Provider Business Mailing Address
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Address Line | P.O. BOX 61028
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City | RENO
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State | NV
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Zip | 89506
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Country | US
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Telephone | 775-323-7000
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Fax | 775-323-7004
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMARA D MOORE
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Credential |
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Telephone | 775-379-6467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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