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General NPI Number Information
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NPI Number | 1467998583
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Entity Type | Organization
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Legal Business Name | KKB MANAGEMENT SOLUTIONS INC
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 771 E US HIGHWAY 80 SUITE 210
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City | FORNEY
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State | TX
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Zip | 75126-8699
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Country | US
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Telephone | 972-552-9596
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Fax | 972-552-9590
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Provider Business Mailing Address
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Address Line | PO BOX 2009
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City | FORNEY
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State | TX
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Zip | 75126-2009
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Country | US
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Telephone | 972-552-9596
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Fax | 972-552-9590
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. KRIS BRIGGS
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Credential |
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Telephone | 903-372-2478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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