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General NPI Number Information
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NPI Number | 1922355726
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Entity Type | Organization
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Legal Business Name | KL & AC, INC
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 15948 S POST OAK RD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77053-3645
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Country | US
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Telephone | 281-835-9494
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Fax | 281-835-9433
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Provider Business Mailing Address
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Address Line | 15948 S POST OAK RD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77053-3645
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Country | US
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Telephone | 281-835-9494
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Fax | 281-835-9433
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Authorized Official
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Title or Position | PIC
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Name | DR. MADOUSSOU KANE
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Credential | PHARM. D.
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Telephone | 281-835-9494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51080
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License Number State | TX
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