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NPI 1669079315

NPI 1669079315 : KRM MANAGEMENT : HOT SPRINGS, AR

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General NPI Number Information
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    NPI Number           |    1669079315
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRM MANAGEMENT 
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Dates
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    Enumeration Date     |    10/06/2020
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    Last Update Date     |    01/25/2024
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Provider Practice Location Address
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    Address Line         |    432 OUACHITA AVE 
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    City                 |    HOT SPRINGS
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    State                |    AR
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    Zip                  |    71901-5129
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    Country              |    US
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    Telephone            |    501-204-4497
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1622 
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    City                 |    HOT SPRINGS
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    State                |    AR
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    Zip                  |    71902-1622
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    Country              |    US
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    Telephone            |    512-239-8415
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KAREN  ROBERTS-MITCHELL 
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    Credential           |    
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    Telephone            |    512-239-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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