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General NPI Number Information
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NPI Number | 1982908166
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Entity Type | Organization
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Legal Business Name | KR FIRST ASSIST, LLC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 515 W MAYFIELD RD SUITE 402
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City | ARLINGTON
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State | TX
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Zip | 76014-2083
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Country | US
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Telephone | 214-649-0329
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2025
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City | RED OAK
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State | TX
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Zip | 75154-1570
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY R BESANCON
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Credential | RNFA
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Telephone | 214-649-0329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 640482
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License Number State | TX
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