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General NPI Number Information
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NPI Number | 1386561629
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Entity Type | Organization
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Legal Business Name | KEYS 2 LIFE
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 352 BERRY RD
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City | ROYAL OAKS
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State | CA
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Zip | 95076-5606
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Country | US
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Telephone | 831-288-1314
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | WATSONVILLE
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State | CA
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Zip | 95077-0186
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Country | US
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Telephone | 831-288-1314
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DANIEL EZEKIEL CONTRERAS
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Credential |
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Telephone | 831-406-9291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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