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General NPI Number Information
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NPI Number | 1104876291
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Entity Type | Organization
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Legal Business Name | ADDITIONAL KARE FOR KIDS, INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 550 S WATTERS RD STE 115
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City | ALLEN
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State | TX
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Zip | 75013-5224
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Country | US
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Telephone | 972-633-5273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860847
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City | PLANO
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State | TX
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Zip | 75086-0847
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Country | US
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Telephone | 800-250-5273
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Fax | 972-633-8088
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CYNTHIA A WREN-GRAY
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Credential |
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Telephone | 800-250-5273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 458160
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 002860
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 002860
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License Number State | TX
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