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General NPI Number Information
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NPI Number | 1043419542
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Entity Type | Organization
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Legal Business Name | K. S. MONITORING, INC.
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 1244 N. MAIN
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City | BOERNE
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State | TX
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Zip | 78006-3601
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Country | US
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Telephone | 210-317-5527
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2001
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City | BOERNE
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State | TX
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Zip | 78006-3601
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Country | US
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Telephone | 210-317-5527
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KALA S SAVANICH
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Credential | R.EP.T, CNIM
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Telephone | 210-317-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 747 636
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License Number State | TX
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