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General NPI Number Information
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NPI Number | 1518915453
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Entity Type | Organization
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Legal Business Name | KENTER LLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1525 WEST MCNEESE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-4291
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Country | US
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Telephone | 337-474-6000
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Fax | 337-478-7522
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Provider Business Mailing Address
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Address Line | 1525 WEST MCNEESE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70605-4291
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Country | US
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Telephone | 337-474-6000
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Fax | 337-478-7522
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MRS. TONI PARKINSON
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Credential |
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Telephone | 601-709-1408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2203782405
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License Number State | LA
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