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General NPI Number Information
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NPI Number | 1790250082
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Entity Type | Organization
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Legal Business Name | KDS INDUSTRIES INC.
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 2001 E SABINE ST STE 104
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City | VICTORIA
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State | TX
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Zip | 77901-5648
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Country | US
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Telephone | 361-935-0514
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Fax | 512-853-3933
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Provider Business Mailing Address
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Address Line | 2001 E SABINE ST STE 104
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City | VICTORIA
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State | TX
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Zip | 77901-5648
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Country | US
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Telephone | 361-935-0514
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Fax | 512-853-3933
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | IMELDA SHEERAN
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Credential |
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Telephone | 361-935-0514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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