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General NPI Number Information
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NPI Number | 1184209900
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Entity Type | Organization
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Legal Business Name | OCHSNER KIDNEY CARE LLC
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 320 MAINE STREET
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City | JEFFERSON
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State | LA
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Zip | 70121
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Country | US
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Telephone | 504-273-0810
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Fax | 504-273-0811
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Provider Business Mailing Address
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Address Line | 4000 COVER ST STE 100
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City | LONG BEACH
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State | CA
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Zip | 90808-1790
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Country | US
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Telephone | 562-421-2690
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Fax | 562-453-0677
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Authorized Official
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Title or Position | MANAGER
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Name | LARRY JONES
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Credential |
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Telephone | 562-421-2690
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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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