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General NPI Number Information
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NPI Number | 1528052883
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Entity Type | Organization
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Legal Business Name | RENAL CARE OF ERIE, LLC
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1641 SASSAFRAS ST
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City | ERIE
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State | PA
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Zip | 16502-1858
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Country | US
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Telephone | 814-455-6455
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Fax | 814-456-1188
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Provider Business Mailing Address
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Address Line | 1641 SASSAFRAS ST
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City | ERIE
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State | PA
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Zip | 16502-1858
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Country | US
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Telephone | 814-461-1328
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Fax | 814-461-1851
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MS. PATTI A. ROJAS
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Credential |
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Telephone | 814-461-1328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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