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General NPI Number Information
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NPI Number | 1346667458
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Entity Type | Organization
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Legal Business Name | SB NEPHROLOGY PLLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 7280 RAWLINS LN
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City | FRISCO
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State | TX
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Zip | 75034-4441
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Country | US
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Telephone | 862-324-1081
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Fax |
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Provider Business Mailing Address
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Address Line | 7280 RAWLINS LN
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City | FRISCO
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State | TX
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Zip | 75034-4441
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SALMAN SAEED BUTT
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Credential | MD
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Telephone | 862-324-1081
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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 | N2019
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License Number State | TX
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