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General NPI Number Information
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NPI Number | 1265020937
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Entity Type | Organization
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Legal Business Name | SOUTHERN KIDNEY CARE PC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 3570 GRANDVIEW PKWY STE 101
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2065
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Country | US
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Telephone | 205-354-2100
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Fax | 866-343-6766
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Provider Business Mailing Address
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Address Line | 3570 GRANDVIEW PKWY STE 101
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2065
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Country | US
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Telephone | 205-354-2100
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Fax | 866-343-6766
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Authorized Official
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Title or Position | OWNER/DO
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Name | DR. KHUSBU HARSHAD PATEL
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Credential | DO
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Telephone | 205-354-2100
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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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