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General NPI Number Information
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NPI Number | 1295561256
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Entity Type | Organization
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Legal Business Name | KIDNEY CARE MEDICAL CENTER PA
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 1300 S BRYAN RD STE 106
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City | MISSION
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State | TX
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Zip | 78572-6688
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Country | US
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Telephone | 956-583-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 4931 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-7228
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Country | US
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Telephone | 956-835-0095
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOURAD ALSABBAGH
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Credential | MD
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Telephone | 248-346-5377
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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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