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General NPI Number Information
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NPI Number | 1295678043
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Entity Type | Organization
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Legal Business Name | METAKIDNEY CLINIC LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 28 BRIAR HILL DRIVE (PLAZA 9) SUITE A
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City | MANALAPAN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 216-233-2728
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Fax | 714-276-2868
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Provider Business Mailing Address
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Address Line | 28 BRIAR HILL DRIVE (PLAZA 9) SUITE A
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City | MANALAPAN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 216-233-2728
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Fax | 714-276-2868
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SUDHANSHU JAIN
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Credential | MD
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Telephone | 216-233-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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