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General NPI Number Information
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NPI Number | 1689023111
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Entity Type | Organization
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Legal Business Name | KD SONS & SERVICES, LLC
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1108 SIR GAWAINE DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-2835
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Country | US
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Telephone | 757-337-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 3714 BREEZE PORT ARCH
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City | CHESAPEAKE
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State | VA
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Zip | 23321-3183
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Country | US
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Telephone | 757-450-4688
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. KIMBERLY POITTILO HUNT
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Credential | M.ED
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Telephone | 757-450-4688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State | VA
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