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General NPI Number Information
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NPI Number | 1386885697
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Entity Type | Organization
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Legal Business Name | DUBLIN NEPHROLOGY CARE, LLC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | 203 FAIRVIEW PARK DR
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City | DUBLIN
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State | GA
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Zip | 31021-2550
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Country | US
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Telephone | 478-275-2828
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Fax | 478-275-7676
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Provider Business Mailing Address
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Address Line | PO BOX 1506
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City | DUBLIN
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State | GA
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Zip | 31040-1506
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Country | US
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Telephone | 478-275-2828
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ZHIQIANG ZHANG
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Credential | M.D.
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Telephone | 478-275-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 049554
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 049554
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License Number State | GA
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