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General NPI Number Information
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NPI Number | 1821079187
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Entity Type | Organization
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Legal Business Name | KINSMAN ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/12/2005
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 3218 N 4TH ST
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City | LONGVIEW
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State | TX
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Zip | 75705
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Country | US
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Telephone | 903-680-2220
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Fax | 903-680-2221
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Provider Business Mailing Address
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Address Line | 3218 N 4TH ST
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City | LONGVIEW
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State | TX
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Zip | 75705
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Country | US
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Telephone | 903-680-2220
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Fax | 903-680-2221
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Authorized Official
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Title or Position | CEO
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Name | MRS. LYNN C KELLER
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Credential | MSN, RN
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Telephone | 214-327-1700
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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 | 457834
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009608
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License Number State | TX
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Taxonomy #3
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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 | TX
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