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General NPI Number Information
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NPI Number | 1396652426
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Entity Type | Organization
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Legal Business Name | NEPHRO HEALTH CLINIC LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 200 CALLE HERNANDEZ CARRION #314 MANATI MEDICAL PLAZA
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City | MANATI
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State | PR
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Zip | 00674-4652
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Country | US
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Telephone | 787-949-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CALLE HERNANDEZ CARRION #314 MANATI MEDICAL PLAZA
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City | MANATI
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State | PR
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Zip | 00674-4652
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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 | OWNER
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Name | KEYLA DAVILA MARCANO
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Credential | M.D.
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Telephone | 787-967-9581
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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 |
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