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General NPI Number Information
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NPI Number | 1073061842
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Entity Type | Organization
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Legal Business Name | DELMARVA KIDNEY & HYPERTENSION SPECIALISTS LLC
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 560 RIVERSIDE DR STE A203
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City | SALISBURY
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State | MD
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Zip | 21801-4704
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Country | US
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Telephone | 443-978-7319
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Fax |
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Provider Business Mailing Address
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Address Line | 560 RIVERSIDE DR STE A203
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City | SALISBURY
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State | MD
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Zip | 21801-4704
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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 | OWNER
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Name | ERIC OFORI
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Credential | MD
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Telephone | 347-432-7032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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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