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General NPI Number Information
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NPI Number | 1497393037
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Entity Type | Organization
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Legal Business Name | KUNFAYAKUN LLC D
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 13699 MARMOLADA DR
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City | FRISCO
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State | TX
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Zip | 75035-4865
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Country | US
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Telephone | 972-979-2033
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Fax | 972-984-7967
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Provider Business Mailing Address
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Address Line | 13699 MARMOLADA DR
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City | FRISCO
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State | TX
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Zip | 75035-4865
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Country | US
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Telephone | 972-979-2033
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Fax | 972-984-7967
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Authorized Official
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Title or Position | ADMINISTRATOR OWNER
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Name | AMINA SULTAN
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Credential |
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Telephone | 972-979-2033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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