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General NPI Number Information
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NPI Number | 1952126351
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Entity Type | Organization
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Legal Business Name | ON KEY
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1351 N C ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-0608
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Country | US
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Telephone | 831-400-9782
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Fax |
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Provider Business Mailing Address
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Address Line | 660 J ST STE 170
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City | SACRAMENTO
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State | CA
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Zip | 95814-2402
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Country | US
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Telephone | 831-400-9782
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Fax |
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Authorized Official
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Title or Position | PRODUCTIVITY SPECIALIST
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Name | MR. RYAN J WALSH
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Credential |
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Telephone | 831-400-9782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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