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General NPI Number Information
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NPI Number | 1609933373
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Entity Type | Organization
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Legal Business Name | KINETICARE REHAB SERVICES P.C.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 2301 W LAMAR BLVD
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City | ARLINGTON
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State | TX
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Zip | 76012-5669
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Country | US
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Telephone | 817-469-9756
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Fax | 817-469-9758
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Provider Business Mailing Address
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Address Line | 2301 W LAMAR BLVD
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City | ARLINGTON
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State | TX
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Zip | 76012-5669
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Country | US
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Telephone | 817-469-9756
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Fax | 817-469-9758
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Authorized Official
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Title or Position | DON, ALTERNATE ADMINISTRATOR
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Name | MRS. MARIA VICTORIA HART
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Credential | RN
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Telephone | 817-469-9756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008308
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License Number State | TX
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