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General NPI Number Information
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NPI Number | 1487391470
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Entity Type | Organization
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Legal Business Name | KEE CARE, LLC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 271 COLLINGSWOOD DR NW
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City | CONCORD
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State | NC
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Zip | 28027
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Country | US
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Telephone | 704-412-1259
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Fax |
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Provider Business Mailing Address
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Address Line | 349 COPPERFIELD BLVD STE # L #390
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City | CONCORD
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State | NC
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Zip | 28025
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Country | US
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Telephone | 704-793-8152
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAMICKO TOENETTE EVONE BELIN
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Credential | RMA-AMT, MHA
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Telephone | 704-793-8152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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