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General NPI Number Information
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NPI Number | 1679376313
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Entity Type | Organization
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Legal Business Name | KRISTIANKEEPERS ENTERPRISE
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 9248 LAIDEN CREEK TRL
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City | CONROE
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State | TX
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Zip | 77303-2026
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Country | US
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Telephone | 773-699-6140
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Fax |
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Provider Business Mailing Address
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Address Line | 330 RAYFORD RD STE 715
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City | SPRING
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State | TX
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Zip | 77386-1980
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Country | US
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Telephone | 773-699-6140
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CAROLYN NORETTA THOMPSON
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Credential | CNA
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Telephone | 817-775-1226
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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 |
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License Number State |
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