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General NPI Number Information
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NPI Number | 1508543208
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Entity Type | Organization
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Legal Business Name | KEYS FOR HEALTH TRAINING CENTER LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 1250 W 1ST ST STE C
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City | LAUREL
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State | MS
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Zip | 39440-4300
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Country | US
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Telephone | 601-274-4004
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Fax | 601-374-6884
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Provider Business Mailing Address
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Address Line | 1250 W 1ST ST STE C
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City | LAUREL
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State | MS
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Zip | 39440-4300
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Country | US
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Telephone | 601-274-4004
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Fax | 601-374-6884
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Authorized Official
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Title or Position | CEO
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Name | FELICI KEYS
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Credential | DNP, APRN
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Telephone | 601-274-4004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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