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General NPI Number Information
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NPI Number | 1124412218
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Entity Type | Organization
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Legal Business Name | CENIKOR FOUNDATION
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 2410 HOWARD LN
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City | AUSTIN
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State | TX
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Zip | 78728-7619
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Country | US
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Telephone | 713-266-9944
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4785 MSC 675
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City | HOUSTON
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State | TX
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Zip | 77210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MATT KUHLMAN
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Credential |
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Telephone | 713-266-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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