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General NPI Number Information
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NPI Number | 1154299394
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Entity Type | Organization
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Legal Business Name | KPC-PC DIALYSIS LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1117 E DEVONSHIRE AVE
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City | HEMET
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State | CA
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Zip | 92543-3083
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Country | US
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Telephone | 951-652-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 9 KPC PKWY STE 301
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City | CORONA
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State | CA
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Zip | 92879-7102
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Country | US
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Telephone | 562-405-4520
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PRADIP C CHOWDHURY
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Credential | MD
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Telephone | 323-371-4182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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