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General NPI Number Information
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NPI Number | 1275060303
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Entity Type | Organization
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Legal Business Name | CAPITAL NEPHROLOGY ACCESS CENTER, LLC
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 1111 EXPOSITION BLVD, STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95815
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Country | US
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Telephone | 916-564-6232
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Fax | 916-921-2586
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Provider Business Mailing Address
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Address Line | 1111 EXPOSITION BLVD, STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95815
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Country | US
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Telephone | 916-426-1949
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Fax | 916-921-2586
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ROHIT KASHYAP
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Credential | M.D.
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Telephone | 916-564-6232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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