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General NPI Number Information
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NPI Number | 1295748929
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Entity Type | Organization
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Legal Business Name | ADVANCED KIDNEY CARE MD PA
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1500 N DIXIE HWY
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2712
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Country | US
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Telephone | 561-833-7600
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Fax | 561-296-3082
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Provider Business Mailing Address
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Address Line | 4425 MILITARY TRAIL SUITE 212
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City | JUPITER
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State | FL
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Zip | 33458
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Country | US
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Telephone | 561-721-1112
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Fax | 561-296-3082
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DOLLY THOMPSON
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Credential |
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Telephone | 561-721-1112
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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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