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General NPI Number Information
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NPI Number | 1366516627
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN KIDNEY CARE PLC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1111 6TH AVE STE 510
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City | DES MOINES
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State | IA
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Zip | 50314-2610
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Country | US
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Telephone | 515-643-5275
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 6TH AVE STE 510
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City | DES MOINES
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State | IA
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Zip | 50314-2610
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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 | OFFICE MANAGER
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Name | NANCY NUNN
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Credential |
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Telephone | 515-643-5275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 01563
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License Number State | IA
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