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General NPI Number Information
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NPI Number | 1245632892
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Entity Type | Organization
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Legal Business Name | KB SUPPORT SERVICES
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 9430 CR 4074
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City | SCURRY
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State | TX
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Zip | 75158
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Country | US
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Telephone | 469-563-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 9430 CR 4074
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City | SCURRY
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State | TX
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Zip | 75158
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Country | US
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Telephone | 469-563-7333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTI BARNES
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Credential |
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Telephone | 469-563-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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