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General NPI Number Information
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NPI Number | 1043126667
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Entity Type | Organization
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Legal Business Name | PALM BEACH KIDNEY SPECIALISTS, INC.
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 4519 LAKE WORTH RD
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City | GREENACRES
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State | FL
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Zip | 33463-3449
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Country | US
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Telephone | 561-709-8850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 540292
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City | GREENACRES
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State | FL
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Zip | 33454-0292
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Country | US
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Telephone | 347-392-7208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMIE ANDRE
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Credential | MD
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Telephone | 347-392-7208
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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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