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General NPI Number Information
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NPI Number | 1447503461
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY INSTITUTE OF NAPLES, PA
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Dates
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Enumeration Date | 10/16/2012
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 671 GOODLETTE RD N
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City | NAPLES
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State | FL
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Zip | 34102-5469
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Country | US
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Telephone | 239-860-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 671 GOODLETTE RD N
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City | NAPLES
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State | FL
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Zip | 34102-5469
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Country | US
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Telephone | 239-860-6965
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERA STRICEVIC
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Credential | MD
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Telephone | 239-860-6965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME94388
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License Number State | FL
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