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General NPI Number Information
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NPI Number | 1205067311
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Entity Type | Organization
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Legal Business Name | KRISTEN CARES, INC
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 1623 BROADWAY
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City | GALVESTON
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State | TX
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Zip | 77550
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Country | US
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Telephone | 409-740-7400
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Fax | 409-621-1113
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Provider Business Mailing Address
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Address Line | 1623 BROADWAY
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City | GALVESTON
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State | TX
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Zip | 77550
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Country | US
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Telephone | 409-740-7400
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Fax | 409-621-1113
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | KRISTEN E CARLSON
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Credential | MBA
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Telephone | 409-740-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 011323
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License Number State | TX
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