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General NPI Number Information
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NPI Number | 1578159661
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Entity Type | Organization
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Legal Business Name | KND REAL ESTATE 40, LLC
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 16453 COLORADO AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-5011
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Country | US
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Telephone | 562-531-3110
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Fax | 562-531-4699
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Provider Business Mailing Address
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Address Line | 16453 COLORADO AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-5011
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Country | US
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Telephone | 562-531-3110
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, CORPORATE SECRETARY
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Name | KATHY TEAGUE
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Credential |
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Telephone | 629-253-5121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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