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General NPI Number Information
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NPI Number | 1881021251
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Entity Type | Organization
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Legal Business Name | KALOS HEALTH, INC.
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 2424 NIAGARA FALLS BLVD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304
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Country | US
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Telephone | 716-215-0823
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 NIAGARA FALLS BLVD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-4562
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Country | US
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Telephone | 716-304-6412
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. KATHLEEN VELASQUEZ
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Credential |
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Telephone | 716-304-6412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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