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General NPI Number Information
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NPI Number | 1316182421
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Entity Type | Organization
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Legal Business Name | BBWK ENTERPRISES LLC
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1106 TRAVIS ST SUITE 130
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4676
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Country | US
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Telephone | 940-761-3223
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Fax | 940-761-3298
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Provider Business Mailing Address
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Address Line | PO BOX 2009
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City | FORNEY
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State | TX
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Zip | 75126-2009
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Country | US
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Telephone | 940-761-3223
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Fax | 940-761-3298
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. KENOY W KENNEDY
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Credential |
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Telephone | 940-761-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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