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General NPI Number Information
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NPI Number | 1013295286
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Entity Type | Organization
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Legal Business Name | CENTER FOR NEPHROLOGY & HYPERTENSION
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 10 PALISADE AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-2321
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Country | US
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Telephone | 201-385-9810
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Fax | 201-385-9812
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Provider Business Mailing Address
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Address Line | 10 PALISADE AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-2321
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Country | US
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Telephone | 201-385-9810
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Fax | 201-385-9812
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT SIU
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Credential | M.D.
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Telephone | 201-385-9810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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