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General NPI Number Information
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NPI Number | 1023627940
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Entity Type | Organization
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Legal Business Name | ARENA HEALTH LLC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 8010 STATELINE ROAD SUITE 100
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208
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Country | US
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Telephone | 816-830-4285
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Fax |
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Provider Business Mailing Address
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Address Line | 8010 STATELINE ROAD SUITE 100
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208
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Country | US
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Telephone | 816-830-4285
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. OMKAR VAIDYA U. VAIDYA
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Credential | MD
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Telephone | 816-588-0725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 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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