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General NPI Number Information
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NPI Number | 1619558566
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Entity Type | Organization
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Legal Business Name | KKB HEALTH SOLUTIONS
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 15964 MCCORD CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1034
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Country | US
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Telephone | 561-860-6551
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Fax |
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Provider Business Mailing Address
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Address Line | 4029 WESTERLY PL STE 109A
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2329
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Country | US
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Telephone | 561-860-6551
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Fax |
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Authorized Official
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Title or Position | COO
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Name | KATIE MURPHY
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Credential |
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Telephone | 561-860-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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