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General NPI Number Information
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NPI Number | 1477806271
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Entity Type | Organization
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Legal Business Name | KIND--N-KARE COMMUNITY OUTREACH,INC.
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 7906 CRESTVIEW DR
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City | HOUSTON
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State | TX
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Zip | 77028-2602
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Country | US
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Telephone | 713-631-3817
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Fax |
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Provider Business Mailing Address
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Address Line | 7906 CRESTVIEW DRIVE
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City | HOUSTON
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State | TX
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Zip | 77028
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Country | US
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Telephone | 713-631-3817
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS SHELIA ANN FLAKES
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Credential |
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Telephone | 713-631-3817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 44131731
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License Number State | TX
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