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General NPI Number Information
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NPI Number | 1164428934
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Entity Type | Organization
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Legal Business Name | KINDSTAR, INC.
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 101 W GOODWIN AVE STE 925
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City | VICTORIA
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State | TX
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Zip | 77901-6757
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Country | US
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Telephone | 361-998-3102
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Fax | 361-333-1745
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Provider Business Mailing Address
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Address Line | 225 W MULBERRY ST STE 102 ATTN MECCA
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City | DENTON
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State | TX
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Zip | 76201-6011
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Country | US
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Telephone | 940-220-2074
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Fax | 844-595-5182
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Authorized Official
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Title or Position | AO/SECRETARY
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Name | DENA L SCHWARTZ
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Credential |
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Telephone | 972-201-3819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 009272
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License Number State | TX
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