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General NPI Number Information
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NPI Number | 1528933009
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Entity Type | Organization
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Legal Business Name | KEY TREATMENT 1 LLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 914 LAS PULGAS RD
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City | PACIFIC PALISADES
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State | CA
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Zip | 90272-2441
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Country | US
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Telephone | 800-421-4364
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 WESTWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | EVAN POWELL
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Credential |
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Telephone | 800-421-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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