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General NPI Number Information
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NPI Number | 1457743262
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Entity Type | Organization
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Legal Business Name | QKT ENTERPRISES PLLC
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 7160 BARKER CYPRESS SUITE E
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City | KATY
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State | TX
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Zip | 77095
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Country | US
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Telephone | 832-420-0265
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Fax |
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Provider Business Mailing Address
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Address Line | 6423 STONE LANDING LN
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City | KATY
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State | TX
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Zip | 77449-1525
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Country | US
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Telephone | 832-420-0265
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KELLY VO
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Credential |
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Telephone | 832-420-0265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 23675
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License Number State | TX
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