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General NPI Number Information
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NPI Number | 1376494591
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Entity Type | Organization
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Legal Business Name | KEY TO LIFE COMMUNITY PARTNERS LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 15793 EL DORADO DRIVE
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City | CORNING
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State | CA
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Zip | 96021
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Country | US
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Telephone | 530-209-7148
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Fax |
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Provider Business Mailing Address
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Address Line | 455 MARKET ST STE 1940 PMB 450227
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2448
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Country | US
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Telephone | 530-209-7148
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH HUGHES
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Credential | SUDCC # 16996
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Telephone | 530-209-7148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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