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General NPI Number Information
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NPI Number | 1346047065
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Entity Type | Organization
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Legal Business Name | KENDALL KIDNEY CENTER LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 10989 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4412
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Country | US
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Telephone | 786-445-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 10989 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4412
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Country | US
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Telephone | 786-445-3311
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KENDALL KIDNEY CENTER
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Credential | DALY RODRIGUEZ DURAN
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Telephone | 786-445-3311
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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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