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General NPI Number Information
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NPI Number | 1942093901
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Entity Type | Organization
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Legal Business Name | MKM CAPITAL LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 10039 BISSONNET ST STE 130
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City | HOUSTON
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State | TX
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Zip | 77036-7863
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Country | US
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Telephone | 781-513-0224
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Fax | 508-786-8699
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Provider Business Mailing Address
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Address Line | 10039 BISSONNET ST STE 130
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City | HOUSTON
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State | TX
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Zip | 77036-7863
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Country | US
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Telephone | 781-513-0224
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Fax | 508-786-8699
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | LOICE GICHUKI
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Credential |
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Telephone | 781-513-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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