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General NPI Number Information
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NPI Number | 1073974010
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Entity Type | Organization
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Legal Business Name | KINSHIP RESIDENTIAL CARE, LLC
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 1119 THERESA ST
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City | HOUSTON
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State | TX
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Zip | 77051
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Country | US
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Telephone | 713-927-4916
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Fax | 713-568-9446
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Provider Business Mailing Address
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Address Line | PO BOX 300225
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City | HOUSTON
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State | TX
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Zip | 77230-0225
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Country | US
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Telephone | 713-927-4916
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Fax | 713-568-9446
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Authorized Official
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Title or Position | MEMBER
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Name | MS. JESSICA C DAVIS
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Credential |
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Telephone | 713-927-4916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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