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General NPI Number Information
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NPI Number | 1356213078
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Entity Type | Organization
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Legal Business Name | KDI HEALTH
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD STE 501
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City | FRISCO
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State | TX
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Zip | 75035-6082
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Country | US
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Telephone | 945-207-7366
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Fax | 972-474-0757
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Provider Business Mailing Address
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Address Line | 2204 WHITMAN LN
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City | CARROLLTON
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State | TX
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Zip | 75010-4901
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Country | US
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Telephone | 713-385-1079
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Fax | 972-474-0757
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN GASPER
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Credential | MD
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Telephone | 713-385-1079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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