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General NPI Number Information
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NPI Number | 1053506444
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Entity Type | Organization
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Legal Business Name | HYPERTENSION AND KIDNEY CENTER, P.C.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 851 MAIN ST SUITE ONE
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City | S WEYMOUTH
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State | MA
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Zip | 02190-1612
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Country | US
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Telephone | 781-337-6500
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Fax | 781-331-1148
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Provider Business Mailing Address
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Address Line | 851 MAIN ST SUITE ONE
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City | S WEYMOUTH
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State | MA
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Zip | 02190-1612
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Country | US
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Telephone | 781-337-6500
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Fax | 781-331-1148
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHLEEN M LENEWEAVER
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Credential |
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Telephone | 781-337-6500
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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 | 38013
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License Number State | MA
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