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General NPI Number Information
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NPI Number | 1417369810
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Entity Type | Organization
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Legal Business Name | ACE NEPHROLOGY, INC.
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 6700 N 1ST ST STE 119
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City | FRESNO
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State | CA
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Zip | 93710-3947
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Country | US
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Telephone | 559-540-7171
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Fax | 559-540-7175
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Provider Business Mailing Address
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Address Line | 373 E SHAW AVE STE 136
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City | FRESNO
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State | CA
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Zip | 93710-7609
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Country | US
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Telephone | 559-540-7171
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Fax | 559-540-7175
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHIN SU YEE
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Credential | MD
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Telephone | 559-540-7171
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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 | 119019
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License Number State | CA
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