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General NPI Number Information
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NPI Number | 1821922865
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Entity Type | Organization
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Legal Business Name | KIRBY GATE LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 6480 QUINCE RD
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City | MEMPHIS
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State | TN
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Zip | 38119-8222
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Country | US
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Telephone | 931-753-3449
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Fax |
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Provider Business Mailing Address
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Address Line | 6480 QUINCE RD
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City | MEMPHIS
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State | TN
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Zip | 38119-8222
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Country | US
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Telephone | 901-753-3449
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAX ECHUZ
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Credential |
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Telephone | 347-946-5945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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