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General NPI Number Information
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NPI Number | 1508364407
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Entity Type | Organization
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Legal Business Name | KLR HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 2725 WIND RIVER LN
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City | DENTON
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State | TX
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Zip | 76210-2999
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Country | US
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Telephone | 940-205-6584
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Fax |
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Provider Business Mailing Address
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Address Line | 2725 WIND RIVER LN
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City | DENTON
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State | TX
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Zip | 76210-2999
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Country | US
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Telephone | 940-205-6584
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | KRISTI L RICHARDS
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Credential | MSN, APRN, NP-C
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Telephone | 281-883-8447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | J4189
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP128800
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License Number State | TX
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