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General NPI Number Information
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NPI Number | 1164794715
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Entity Type | Organization
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Legal Business Name | SATELLITE DIALYSIS OF OAKLAND LLC
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Dates
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Enumeration Date | 01/29/2012
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 255 2ND ST
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City | OAKLAND
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State | CA
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Zip | 94607-4307
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Country | US
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Telephone | 510-433-8340
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Fax | 510-547-1444
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Provider Business Mailing Address
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Address Line | 5851 LEGACY CIR STE 900
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City | PLANO
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State | TX
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Zip | 75024-5982
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Country | US
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Telephone | 650-404-3600
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Fax | 650-625-6007
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Authorized Official
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Title or Position | CHAIRMAN
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Name | THOMAS L WEINBERG
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Credential |
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Telephone | 214-726-2700
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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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