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General NPI Number Information
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NPI Number | 1437370921
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Entity Type | Organization
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Legal Business Name | KSC HOME CARE LLC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 1101 W VETERANS BLVD STE A
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City | PALMVIEW
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State | TX
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Zip | 78572-7081
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Country | US
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Telephone | 956-585-7266
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Fax | 956-585-7388
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Provider Business Mailing Address
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Address Line | 1101 W VETERANS BLVD STE A
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City | PALMVIEW
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State | TX
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Zip | 78572-7081
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Country | US
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Telephone | 956-585-7266
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Fax | 956-585-7388
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIE STFLEUR
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Credential |
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Telephone | 956-585-7266
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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 | 011490
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License Number State | TX
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