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General NPI Number Information
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NPI Number | 1265990360
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Entity Type | Organization
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Legal Business Name | UHA DIALYSIS, PLLC
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 8951 COLLIN MCKINNEY PKWY STE 503
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City | MCKINNEY
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State | TX
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Zip | 75070-8483
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Country | US
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Telephone | 513-310-6535
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 LORING DR
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City | ALLEN
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State | TX
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Zip | 75013-5840
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | MRS. CARMEN GUTIERREZ
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Credential |
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Telephone | 817-846-2316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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