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General NPI Number Information
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NPI Number | 1649395583
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Entity Type | Organization
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Legal Business Name | KEY PROGRAM, INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 623 ATWELLS AVE SUITE 201-D
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City | PROVIDENCE
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State | RI
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Zip | 02909-7403
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Country | US
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Telephone | 401-861-2680
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Fax | 401-751-6641
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Provider Business Mailing Address
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Address Line | 670 OLD CONNECTICUT PATH
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City | FRAMINGHAM
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State | MA
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Zip | 01701-4548
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Country | US
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Telephone | 508-877-3690
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE SUPERVISOR
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Name | MRS. MARCIA ALLEN
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Credential |
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Telephone | 401-861-2680
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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 | RI
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | RI
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