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General NPI Number Information
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NPI Number | 1376543074
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Entity Type | Organization
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Legal Business Name | SOUTHEAST TEXAS NEPHROLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2300 HIGHWAY 365 STE 210
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City | NEDERLAND
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State | TX
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Zip | 77627-6283
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Country | US
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Telephone | 409-985-6657
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Fax | 409-982-7805
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Provider Business Mailing Address
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Address Line | 2300 HIGHWAY 365 STE 210
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City | NEDERLAND
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State | TX
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Zip | 77627-6283
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Country | US
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Telephone | 409-985-6657
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Fax | 409-982-7805
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. DEBORAH ANN CHATMAN
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Credential |
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Telephone | 409-985-6657
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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 | TX
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