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General NPI Number Information
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NPI Number | 1194060483
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Entity Type | Organization
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Legal Business Name | HYPERTENSION AND KIDNEY CENTER LLC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 6069 HARLESTON RD
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City | ATLANTA
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State | GA
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Zip | 30328-4105
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Country | US
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Telephone | 770-632-7590
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Fax | 770-252-7783
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Provider Business Mailing Address
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Address Line | 6069 HARLESTON RD
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City | ATLANTA
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State | GA
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Zip | 30328-4105
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Country | US
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Telephone | 770-632-7590
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Fax | 770-252-7783
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Authorized Official
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Title or Position | MEMBER
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Name | DR. BRAHAM NARAYAN TAPARIA
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Credential | MD, FACP, FASN
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Telephone | 770-632-7590
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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 | 48087
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License Number State | GA
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