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General NPI Number Information
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NPI Number | 1588505580
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Entity Type | Organization
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Legal Business Name | KEO CARE
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 163 N BANDINI ST
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City | SAN PEDRO
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State | CA
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Zip | 90731-1909
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Country | US
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Telephone | 310-773-6432
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 WILSHIRE BLVD STE 333
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-3405
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Country | US
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Telephone | 310-773-6432
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Fax |
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Authorized Official
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Title or Position | OWNER AND CLINICAL DIRECTOR
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Name | JESSICA KNOTT
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Credential | LMFT
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Telephone | 310-773-6432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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