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General NPI Number Information
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NPI Number | 1487657425
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Entity Type | Organization
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Legal Business Name | KING'S MANAGEMENT & LEASING LLC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 2901 JUDSON RD
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City | LONGVIEW
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State | TX
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Zip | 75605-1803
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Country | US
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Telephone | 903-663-0110
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Fax | 903-663-0279
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Provider Business Mailing Address
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Address Line | 1894 GEORGETOWN RD
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City | HUDSON
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State | OH
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Zip | 44236-4058
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Country | US
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Telephone | 330-528-1828
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Fax | 330-656-1660
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | MS. V. RENAE BARLOW
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Credential |
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Telephone | 330-528-1828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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