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General NPI Number Information
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NPI Number | 1609718394
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Entity Type | Organization
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Legal Business Name | FRESENIUS MEDICAL CARE CONSHOHOCKEN HOME, LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 625 WEST RIDGE PIKE BUILDING D SUITE D-102
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 484-243-5902
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Fax | 484-585-9426
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Provider Business Mailing Address
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Address Line | 625 WEST RIDGE PIKE BUILDING D SUITE D-102
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 484-243-5902
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Fax | 484-585-9426
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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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