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General NPI Number Information
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NPI Number | 1235365966
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Entity Type | Organization
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Legal Business Name | KONEKTZ LLC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 09/17/2018
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Provider Practice Location Address
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Address Line | 2902 S BUCKNER BLVD STE 300
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City | DALLAS
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State | TX
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Zip | 75227-6951
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Country | US
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Telephone | 972-699-7700
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Fax | 214-452-9938
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Provider Business Mailing Address
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Address Line | 2902 S BUCKNER BLVD STE 300
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City | DALLAS
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State | TX
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Zip | 75227-6951
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Country | US
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Telephone | 972-699-7700
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Fax | 214-452-9938
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | VICKY MICHAELS-KNARR
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Credential |
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Telephone | 972-699-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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