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General NPI Number Information
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NPI Number | 1376367177
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Entity Type | Organization
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Legal Business Name | KINDHEARTED HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 11/09/2024
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Provider Practice Location Address
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Address Line | 7505 GREENWAY CENTER DR STE 3
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City | GREENBELT
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State | MD
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Zip | 20770-3507
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Country | US
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Telephone | 240-479-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 14921 DENNINGTON DR
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City | BOWIE
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State | MD
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Zip | 20721-3273
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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 | ADMINISTRATOR
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Name | PRESCILLA NKWENTI
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Credential |
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Telephone | 240-479-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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