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General NPI Number Information
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NPI Number | 1609448430
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Entity Type | Organization
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Legal Business Name | HUMAN KIND WELLNESS, LLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 1101 RIDGE RD STE 227
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City | ROCKWALL
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State | TX
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Zip | 75087-4233
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Country | US
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Telephone | 214-864-3116
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Fax |
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Provider Business Mailing Address
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Address Line | 302 W KAUFMAN ST
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City | ROCKWALL
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State | TX
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Zip | 75087-3028
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Country | US
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Telephone | 214-864-3116
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE CRANE
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Credential | LPC-S
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Telephone | 214-864-3116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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