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General NPI Number Information
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NPI Number | 1881573087
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Entity Type | Organization
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Legal Business Name | THE KINDNESS CLUB
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Dates
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Enumeration Date | 09/01/2025
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 14679 MESA DR
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City | VICTORVILLE
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State | CA
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Zip | 92395-4055
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Country | US
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Telephone | 323-532-6923
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 241402
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City | LOS ANGELES
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State | CA
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Zip | 90024-9202
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Country | US
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Telephone | 323-532-6923
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KYRA CARTER
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Credential |
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Telephone | 323-532-6923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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