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General NPI Number Information
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NPI Number | 1235871146
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Entity Type | Organization
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Legal Business Name | FLORENCE NEPHROLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 101 WILLIAM H JOHNSON ST STE 430
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City | FLORENCE
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State | SC
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Zip | 29506-2769
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Country | US
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Telephone | 843-777-7290
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Fax | 843-777-7280
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Provider Business Mailing Address
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Address Line | 101 WILLIAM H JOHNSON ST STE 430
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City | FLORENCE
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State | SC
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Zip | 29506-2769
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Country | US
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Telephone | 843-777-7290
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Fax | 843-777-7280
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Authorized Official
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Title or Position | MD
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Name | MHD ADNAN ALSAKA
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Credential | MD
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Telephone | 843-777-7790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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