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General NPI Number Information
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NPI Number | 1164374948
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Entity Type | Organization
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Legal Business Name | ELITE KIDNEY CARE LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1131 W 6TH ST STE 150
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City | ONTARIO
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State | CA
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Zip | 91762-1116
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Country | US
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Telephone | 909-482-4462
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 W 6TH ST STE 150
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City | ONTARIO
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State | CA
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Zip | 91762-1116
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Country | US
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Telephone | 909-482-4462
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HLA MYINT MAUNG HWANG
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Credential | MD
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Telephone | 909-482-4462
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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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