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General NPI Number Information
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NPI Number | 1033658174
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Entity Type | Organization
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Legal Business Name | KIDNEY CARE OF DALLAS PLLC
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 10611 GARLAND RD STE 105
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City | DALLAS
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State | TX
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Zip | 75218-2680
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Country | US
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Telephone | 469-904-2020
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Fax | 469-904-2028
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Provider Business Mailing Address
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Address Line | 519 E INTERSTATE 30 STE 417
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City | ROCKWALL
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State | TX
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Zip | 75087-5408
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Country | US
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Telephone | 469-904-2020
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Fax | 469-904-2028
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Authorized Official
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Title or Position | OWNER/MD
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Name | SYED M ALI
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Credential | M.D.
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Telephone | 713-397-7789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P2822
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License Number State | TX
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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 | P2822
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License Number State | TX
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