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General NPI Number Information
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NPI Number | 1487993176
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Entity Type | Organization
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Legal Business Name | KIDNEY AND HYPERTENSION CONSULTANTS
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/14/2019
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Provider Practice Location Address
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Address Line | 18546 ROSCOE BLVD STE 110
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4667
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Country | US
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Telephone | 818-993-5600
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Fax | 818-775-1509
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Provider Business Mailing Address
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Address Line | 18546 ROSCOE BLVD STE 110
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4667
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Country | US
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Telephone | 818-993-5600
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Fax | 818-775-1509
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMANATH DUKKIPATI
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Credential | M.D
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Telephone | 818-993-5600
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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 | A88861
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License Number State | CA
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