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NPI 1598231177

NPI 1598231177 : FRESENIUS MEDICAL CARE NORTH FORSYTH, LLC : CUMMING, GA

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General NPI Number Information
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    NPI Number           |    1598231177
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRESENIUS MEDICAL CARE NORTH FORSYTH, LLC 
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Dates
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    Enumeration Date     |    10/22/2018
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    Last Update Date     |    06/18/2025
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Provider Practice Location Address
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    Address Line         |    3530 ROWE LN 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30041-5586
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    Country              |    US
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    Telephone            |    770-886-2489
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    Fax                  |    770-886-2754
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Provider Business Mailing Address
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    Address Line         |    3530 ROWE LN 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30041-5586
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    Country              |    US
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    Telephone            |    770-886-2489
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    Fax                  |    770-886-2754
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     BARRY L. BLANTON 
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    Credential           |    
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    Telephone            |    781-676-5200
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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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