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General NPI Number Information
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NPI Number | 1861173361
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Entity Type | Organization
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Legal Business Name | KMS SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 12301 W BELL RD STE B103
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City | SURPRISE
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State | AZ
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Zip | 85378-9706
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Country | US
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Telephone | 602-376-3485
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Fax | 602-376-3485
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Provider Business Mailing Address
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Address Line | 12301 W BELL RD STE B103
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City | SURPRISE
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State | AZ
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Zip | 85378-9706
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Country | US
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Telephone | 602-376-3485
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Fax | 602-376-3485
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Authorized Official
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Title or Position | OWNER - DIRECTOR OF OPERATIONS
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Name | KYLE MARK SPEZIA
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Credential |
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Telephone | 602-376-3485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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