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General NPI Number Information
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NPI Number | 1164887642
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Entity Type | Organization
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Legal Business Name | KJAL ENTERPRISE, INC.
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 9888 BISSONNET ST STE 450-A
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 281-962-3344
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Fax | 281-962-3344
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Provider Business Mailing Address
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Address Line | 9888 BISSONNET ST STE 450-A
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City | HOUSTON
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State | TX
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Zip | 77036-8247
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Country | US
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Telephone | 281-369-4722
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Fax | 281-369-4722
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFERSON LAWRENCE JR.
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Credential |
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Telephone | 281-369-4722
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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 |
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License Number State |
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