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General NPI Number Information
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NPI Number | 1558021014
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Entity Type | Organization
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Legal Business Name | KEYS2WELLNESS LLC
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Dates
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Enumeration Date | 12/26/2021
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 216 S 13TH AVE # C
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City | LAUREL
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State | MS
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Zip | 39440-4226
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Country | US
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Telephone | 601-342-2243
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Fax |
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Provider Business Mailing Address
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Address Line | 216 S 13TH AVE # C
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City | LAUREL
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State | MS
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Zip | 39440-4226
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Country | US
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Telephone | 601-342-2243
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Fax | 601-374-6884
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Authorized Official
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Title or Position | OWNER
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Name | DR. FELICIA KEYS
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Credential | DNP, APRN
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Telephone | 601-342-2243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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