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General NPI Number Information
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NPI Number | 1609027648
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Entity Type | Individual
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Provider Name | RONALD L KEY PH.D., CEAP,AADC
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 442 JORDAN ST
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City | SHREVEPORT
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State | LA
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Zip | 71101-4849
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Country | US
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Telephone | 318-426-7020
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Fax | 318-425-1828
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Provider Business Mailing Address
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Address Line | 1102 N PINE RD
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City | OLLA
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State | LA
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Zip | 71465-4804
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Country | US
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Telephone | 318-495-3131
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Fax | 318-495-0749
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 024471
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 452
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License Number State | LA
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