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General NPI Number Information
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NPI Number | 1649793928
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Entity Type | Organization
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Legal Business Name | KINGWOOD INFUSION CENTER PLLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 19701 KINGWOOD DR BUILDING 9
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City | KINGWOOD
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State | TX
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Zip | 77339
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Country | US
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Telephone | 281-609-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 19701 KINGWOOD DR STE 9
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City | KINGWOOD
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State | TX
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Zip | 77339-3775
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Country | US
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Telephone | 281-609-4011
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | KEVIN GARNEPUDI
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Credential | DO
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Telephone | 281-609-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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