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General NPI Number Information
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NPI Number | 1427143866
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Entity Type | Organization
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Legal Business Name | WEST PARK DIALYSIS CARE, INC.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 6400 SOUTHWEST FWY SUITE G
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City | HOUSTON
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State | TX
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Zip | 77074-2213
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Country | US
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Telephone | 713-977-7877
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Fax | 713-977-7837
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Provider Business Mailing Address
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Address Line | 7001 CORPORATE DR STE. 227
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City | HOUSTON
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State | TX
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Zip | 77036-5192
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Country | US
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Telephone | 713-917-0454
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Fax | 713-917-0909
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PRAVIN B PATEL
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Credential |
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Telephone | 713-917-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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