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General NPI Number Information
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NPI Number | 1013199199
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Entity Type | Organization
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Legal Business Name | KBK CONNECTIONS INC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 44 GREENLEAF ST
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-773-2344
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Fax | 617-773-0907
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Provider Business Mailing Address
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Address Line | 190 PURCHASE ST
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City | EASTON
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State | MA
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Zip | 02375
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Country | US
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Telephone | 617-773-2344
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Fax | 617-773-0907
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN BURNS KINGSBURY
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Credential | LMHC
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Telephone | 617-773-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMHC03822
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License Number State | MA
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