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General NPI Number Information
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NPI Number | 1457952244
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Entity Type | Organization
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Legal Business Name | ARLINGTON DIALYSIS, LLC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 1635 N ARLINGTON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-5181
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Country | US
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Telephone | 317-353-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 221648
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City | LOUISVILLE
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State | KY
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Zip | 40252-1648
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Country | US
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Telephone | 502-412-5847
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | MS. CRISTINA PIETROWSKI
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Credential |
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Telephone | 502-412-5847
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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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