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General NPI Number Information
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NPI Number | 1902040603
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Entity Type | Organization
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Legal Business Name | KINDSTAR, INC.
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Dates
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Enumeration Date | 04/24/2009
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 19160 FM 548 # B
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City | TERRELL
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State | TX
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Zip | 75160-0966
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Country | US
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Telephone | 972-563-3030
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Fax | 972-563-1225
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Provider Business Mailing Address
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Address Line | PO BOX 50805
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City | DENTON
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State | TX
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Zip | 76206-0805
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Country | US
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Telephone | 940-380-0311
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Fax | 940-380-9605
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMANTHA MCKAY
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Credential |
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Telephone | 940-380-0311
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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 | 11963
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License Number State | TX
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