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General NPI Number Information
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NPI Number | 1396143343
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Entity Type | Organization
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Legal Business Name | KIDNEY CARE DIRECT LIMITED LIABILITY CORPORATION
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD SUITE 160
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City | BOCA RATON
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State | FL
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Zip | 33487
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Country | US
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Telephone | 732-654-6523
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Fax |
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Provider Business Mailing Address
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Address Line | 424 E CENTRAL BLVD STE 101
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City | ORLANDO
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State | FL
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Zip | 32801-1923
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Country | US
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Telephone | 407-906-5231
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMAY PARIKH
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Credential | MD
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Telephone | 617-821-4215
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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 | ME121982
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License Number State | FL
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