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General NPI Number Information
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NPI Number | 1922483395
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Entity Type | Organization
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Legal Business Name | K-BEE HOMCARE SERVICES, LLC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 210 N MAIN ST 901 FAIRMONT COURT
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City | CLOVIS
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State | NM
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Zip | 88101-7553
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Country | US
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Telephone | 575-762-9356
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Fax | 575-763-3652
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Provider Business Mailing Address
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Address Line | 210 N MAIN ST
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City | CLOVIS
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State | NM
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Zip | 88101-7553
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Country | US
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Telephone | 575-762-9356
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Fax | 575-763-3652
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARVIN DWIGHT GODWIN
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Credential |
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Telephone | 575-762-9356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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