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NPI 1235911793

NPI 1235911793 : TEXAS KIDNEY PARTNERS : MCKINNEY, TX

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General NPI Number Information
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    NPI Number           |    1235911793
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    Entity Type          |    Organization 
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    Legal Business Name  |    TEXAS KIDNEY PARTNERS 
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Dates
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    Enumeration Date     |    10/19/2023
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    Last Update Date     |    01/22/2024
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Provider Practice Location Address
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    Address Line         |    2001 AUBURN HILLS PKWY STE 801 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75071-3572
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    Country              |    US
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    Telephone            |    214-796-8579
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2001 AUBURN HILLS PKWY STE 801 
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    City                 |    MCKINNEY
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    State                |    TX
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    Zip                  |    75071-3572
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    Country              |    US
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    Telephone            |    214-796-8579
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |     OBIAJULU  KANU 
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    Credential           |    MD
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    Telephone            |    214-796-8579
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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       |    
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    License Number State |    
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