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General NPI Number Information
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NPI Number | 1245712421
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Entity Type | Organization
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Legal Business Name | KOKORO BODY THERAPIES, PLLC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 14850 MONTFORT DR STE 181 LB 11
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City | DALLAS
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State | TX
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Zip | 75254-1450
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Country | US
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Telephone | 469-431-5656
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Fax | 214-446-6010
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Provider Business Mailing Address
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Address Line | 14850 MONTFORT DR STE 140
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City | DALLAS
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State | TX
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Zip | 75254-7077
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Country | US
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Telephone | 972-201-3552
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Fax | 877-658-8663
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. ADRIANE ALEXANDER
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Credential |
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Telephone | 214-550-1469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy 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 | 261QR0400X
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Taxonomy Name | Rehabilitation 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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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