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NPI 1356266183

NPI 1356266183 : K HUDSON BEAUTY LLC : LIVE OAK, TX

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General NPI Number Information
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    NPI Number           |    1356266183
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    Entity Type          |    Organization 
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    Legal Business Name  |    K HUDSON BEAUTY LLC 
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Dates
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    Enumeration Date     |    08/11/2026
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    Last Update Date     |    08/11/2026
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Provider Practice Location Address
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    Address Line         |    8204 PAT BOOKER RD 
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    City                 |    LIVE OAK
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    State                |    TX
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    Zip                  |    78233-2440
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    Country              |    US
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    Telephone            |    210-847-8999
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3105 TURQUOISE 
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    City                 |    SCHERTZ
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    State                |    TX
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    Zip                  |    78154-6141
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KINETA  HUDSON 
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    Credential           |    
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    Telephone            |    210-847-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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