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General NPI Number Information
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NPI Number | 1902899008
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Entity Type | Organization
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Legal Business Name | THE KENDRA COMPANY, LLC
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 4107 W 49TH AVE
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City | AMARILLO
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State | TX
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Zip | 79109-5941
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Country | US
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Telephone | 806-373-7373
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Fax | 806-342-3300
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Provider Business Mailing Address
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Address Line | PO BOX 7970
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City | AMARILLO
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State | TX
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Zip | 79114-7970
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Country | US
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Telephone | 806-373-7373
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Fax | 806-342-3300
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | KENNETH E. CARGLE
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Credential | M. DIV
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Telephone | 806-373-7373
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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 | 007538
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License Number State | TX
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