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General NPI Number Information
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NPI Number | 1073146841
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Entity Type | Organization
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Legal Business Name | NEPHROSANT, INC.
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 150 N HILL DR STE 10
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City | BRISBANE
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State | CA
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Zip | 94005-1023
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Country | US
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Telephone | 650-419-7620
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Fax | 628-239-3551
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Provider Business Mailing Address
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Address Line | 150 N HILL DR STE 10
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City | BRISBANE
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State | CA
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Zip | 94005-1023
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Country | US
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Telephone | 650-419-7620
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Fax | 628-239-3551
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Authorized Official
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Title or Position | VP OF MARKET ACCESS & REIMBURSEMENT
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Name | BEVERLY SALCEDO
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Credential |
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Telephone | 909-957-5940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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