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General NPI Number Information
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NPI Number | 1053125856
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY PRACTICE OF NIAGARA, P.C.
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2900 MILITARY RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-1252
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Country | US
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Telephone | 716-298-1868
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | GETZVILLE
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State | NY
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Zip | 14068-0309
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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 | DR. EDWIN JEBAKUMAR ANAND
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Credential | MD
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Telephone | 716-298-1868
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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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