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General NPI Number Information
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NPI Number | 1528687639
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Entity Type | Organization
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Legal Business Name | KING-DAVIS ENTERPRISE L.L.C.
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 3945 BRAXTON DR STE 2
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City | HOUSTON
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State | TX
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Zip | 77063-6303
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Country | US
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Telephone | 281-636-6861
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Fax |
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Provider Business Mailing Address
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Address Line | 3945 BRAXTON DR STE 2
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City | HOUSTON
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State | TX
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Zip | 77063-6303
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Country | US
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Telephone | 281-636-6861
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHY DELOIS KING-DAVIS
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Credential | FNP
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Telephone | 281-636-6861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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