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General NPI Number Information
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NPI Number | 1194495135
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Entity Type | Organization
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Legal Business Name | KP BEHAVIORAL LLC
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 12700 HILLCREST RD STE 251
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City | DALLAS
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State | TX
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Zip | 75230-7134
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Country | US
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Telephone | 903-388-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 12700 HILLCREST RD STE 251
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City | DALLAS
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State | TX
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Zip | 75230-7134
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Country | US
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Telephone | 972-740-4808
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Fax | 949-862-3770
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Authorized Official
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Title or Position | OWNER, NP
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Name | DR. KRISTIN P SOLIMANI
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Credential | NP, DNP
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Telephone | 972-740-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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