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General NPI Number Information
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NPI Number | 1932219219
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Entity Type | Individual
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Provider Name | SANDRA L. KEAYS MFT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16162 BEACH BLVD #301
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3807
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Country | US
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Telephone | 714-842-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 CRAPE MYRTLE CIR
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City | CHINO HILLS
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State | CA
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Zip | 91709-4236
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Country | US
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Telephone | 909-606-7965
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MFC28514
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License Number State | CA
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