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General NPI Number Information
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NPI Number | 1518905900
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Entity Type | Organization
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Legal Business Name | DU BOIS NEPHROLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 190 W PARK AVE
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City | DU BOIS
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State | PA
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Zip | 15801-2277
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Country | US
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Telephone | 814-371-7590
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Fax | 814-371-7579
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Provider Business Mailing Address
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Address Line | 190 W PARK AVE
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City | DU BOIS
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State | PA
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Zip | 15801-2277
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Country | US
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Telephone | 814-371-7590
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Fax | 814-371-7579
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANJEEV ANAND
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Credential | MD
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Telephone | 814-371-7590
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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 |
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License Number State |
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