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General NPI Number Information
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NPI Number | 1205014495
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Entity Type | Organization
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Legal Business Name | KIDNEY TREATMENT CENTERS
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Dates
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Enumeration Date | 02/10/2008
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Last Update Date | 02/10/2008
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Provider Practice Location Address
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Address Line | 6633 HILLCROFT ST #118
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City | HOUSTON
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State | TX
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Zip | 77081-4887
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Country | US
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Telephone | 713-774-9090
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Fax | 713-774-9091
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Provider Business Mailing Address
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Address Line | PO BOX 2169
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City | STAFFORD
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State | TX
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Zip | 77497-2169
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Country | US
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Telephone | 713-774-9090
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Fax | 713-774-9091
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | RUPERT PATEL
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Credential | MD
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Telephone | 713-774-9090
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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 | L5868
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License Number State | TX
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