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General NPI Number Information
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NPI Number | 1861101651
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Entity Type | Organization
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Legal Business Name | KEYNET BUSINESSNETWORK INC
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 1409 STATE ST
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City | HARRISBURG
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State | PA
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Zip | 17103-1340
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Country | US
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Telephone | 717-877-9425
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Fax | 877-753-9638
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Provider Business Mailing Address
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Address Line | PO BOX 61784
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City | HARRISBURG
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State | PA
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Zip | 17106-1784
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Country | US
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Telephone | 717-877-9425
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Fax | 877-753-9638
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LOLITA MAIGA
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Credential |
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Telephone | 717-877-9425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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