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General NPI Number Information
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NPI Number | 1558215483
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Entity Type | Organization
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Legal Business Name | CHITUE DIALYSIS LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 4303 S 2700 W
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-2125
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Country | US
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Telephone | 385-318-3724
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Fax | 385-318-3964
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Provider Business Mailing Address
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Address Line | 5200 VIRGINIA WAY L&C DEPT
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City | BRENTWOOD
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State | TN
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Zip | 37027-7569
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Country | US
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Telephone | 615-238-3085
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Fax | 800-268-9682
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SAMUEL T WEY
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Credential |
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Telephone | 800-467-4736
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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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