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General NPI Number Information
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NPI Number | 1902258387
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Entity Type | Organization
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Legal Business Name | KC CONSTRUCTION, INC
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 4319 CHATEAU RIDGE RD
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City | CASTLE ROCK
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State | CO
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Zip | 80108-8424
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Country | US
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Telephone | 303-807-1019
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Fax | 303-683-1527
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Provider Business Mailing Address
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Address Line | 4319 CHATEAU RIDGE RD
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City | CASTLE ROCK
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State | CO
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Zip | 80108-8424
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Country | US
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Telephone | 303-807-1019
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Fax | 303-683-1527
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN K COMBA
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Credential |
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Telephone | 303-807-1019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 241265
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License Number State | CO
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