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General NPI Number Information
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NPI Number | 1407735236
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Entity Type | Organization
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Legal Business Name | KAMAL KIDNEY CARE PLLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 6019 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2113
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Country | US
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Telephone | 901-226-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 8908 FOREST GLADE CV
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City | GERMANTOWN
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State | TN
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Zip | 38139-6567
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Country | US
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Telephone | 901-844-1431
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MAHWASH KAMAL
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Credential | MD
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Telephone | 304-216-4807
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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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