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General NPI Number Information
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NPI Number | 1477445286
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Entity Type | Organization
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Legal Business Name | KIND HEART MEDICAL TRANSPORT
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 21323 VIOLET DUSK DR
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City | KATY
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State | TX
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Zip | 77449-6896
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Country | US
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Telephone | 832-872-2181
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Fax |
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Provider Business Mailing Address
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Address Line | 3038 FRY RD # 92
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City | KATY
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State | TX
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Zip | 77449-6240
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Country | US
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Telephone | 832-872-2181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICAH BROCK
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Credential |
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Telephone | 816-835-4866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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