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General NPI Number Information
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NPI Number | 1356158323
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Entity Type | Organization
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Legal Business Name | SKULPTED KONTOUR LLC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1706 HARKRIDER LN
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-3560
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Country | US
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Telephone | 469-213-7972
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Fax |
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Provider Business Mailing Address
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Address Line | 515 N CEDAR RIDGE DR STE 9
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City | DUNCANVILLE
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State | TX
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Zip | 75116-3182
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Country | US
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Telephone | 720-213-7975
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANEYA KEYS
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Credential |
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Telephone | 720-296-0334
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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