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General NPI Number Information
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NPI Number | 1801403191
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Entity Type | Organization
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Legal Business Name | KR HEALTHCARE AND TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 2627 W FLORIDA AVE STE 206
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City | HEMET
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State | CA
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Zip | 92545-4618
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Country | US
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Telephone | 951-400-5541
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 W FLORIDA AVE STE 206
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City | HEMET
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State | CA
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Zip | 92545-4618
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Country | US
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Telephone | 951-400-5541
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENSON EGHRERINIOVO
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Credential |
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Telephone | 651-497-9209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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