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General NPI Number Information
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NPI Number | 1124937263
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY CLINICAL SOLUTIONS PENNSYLVANIA, LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 850 PAPER MILL RD
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City | GLENSIDE
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State | PA
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Zip | 19038-7833
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Country | US
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Telephone | 215-233-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N FEDERAL HWY STE 501
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2467
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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 | FINANCIAL CONTROLLER
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Name | ERIC JARQUIN
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Credential |
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Telephone | 954-651-8332
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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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