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General NPI Number Information
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NPI Number | 1386230753
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Entity Type | Organization
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Legal Business Name | SHARKEN CORPORATION
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 2600 GESSNER RD STE 217
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City | HOUSTON
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State | TX
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Zip | 77080-3843
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Country | US
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Telephone | 832-203-8686
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Fax | 832-804-7134
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Provider Business Mailing Address
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Address Line | 2302 AMBER SPRINGS DR
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City | KATY
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State | TX
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Zip | 77450-6605
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Country | US
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Telephone | 281-352-4680
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Fax | 832-804-7134
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH DUVAL
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Credential |
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Telephone | 281-352-4680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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