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General NPI Number Information
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NPI Number | 1477862340
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Entity Type | Organization
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Legal Business Name | K AND K INDUSTRIES LLC
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 100 ASHURST LN SUITE 101
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-1202
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Country | US
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Telephone | 609-914-0114
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Fax | 609-914-0116
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Provider Business Mailing Address
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Address Line | 100 ASHURST LN SUITE 101
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City | MOUNT HOLLY
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State | NJ
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Zip | 08060-1202
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Country | US
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Telephone | 609-914-0114
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Fax | 609-914-0116
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOSEPH DYKEMAN
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Credential |
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Telephone | 609-914-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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