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General NPI Number Information
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NPI Number | 1740185644
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Entity Type | Organization
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Legal Business Name | KINETI CORE LLC
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 1907 DOUGLAS BLVD STE 70
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City | ROSEVILLE
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State | CA
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Zip | 95661-3808
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Country | US
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Telephone | 279-258-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 3017 DOUGLAS BLVD STE 300
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City | ROSEVILLE
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State | CA
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Zip | 95661-3850
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Country | US
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Telephone | 279-258-7331
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LOVEJEET SINGH
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Credential |
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Telephone | 279-258-7331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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