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General NPI Number Information
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NPI Number | 1407246796
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Entity Type | Organization
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Legal Business Name | KNR ENTERPRISES, INC.
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 2396 COURT PLAZA DR SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-3408
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Country | US
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Telephone | 757-689-5966
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Fax | 757-689-5967
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Provider Business Mailing Address
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Address Line | 3096 MANSFIELD LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23457-1180
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Country | US
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Telephone | 757-689-5966
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Fax | 757-689-5967
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KELLY WYNNE RENTZ
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Credential |
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Telephone | 757-615-3850
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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 | HCO 151271
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License Number State | VA
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