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NPI 1093264558

NPI 1093264558 : KIDNEY PLUS PLLC : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1093264558
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIDNEY PLUS PLLC 
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Dates
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    Enumeration Date     |    09/26/2016
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    3810 HOLLYWOOD BLVD STE 1 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-6779
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    Country              |    US
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    Telephone            |    954-800-0953
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    Fax                  |    954-800-0956
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Provider Business Mailing Address
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    Address Line         |    3810 HOLLYWOOD BLVD STE 1 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-6779
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    Country              |    US
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    Telephone            |    954-800-0953
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    Fax                  |    954-800-0956
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ABDUR RAHMAN BAIG 
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    Credential           |    
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    Telephone            |    954-800-0953
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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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