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General NPI Number Information
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NPI Number | 1619037520
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Entity Type | Organization
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Legal Business Name | RENAL CARE ASSOCIATES, PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 77 N CENTRE AVE #300
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3923
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Country | US
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Telephone | 516-764-5807
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Fax | 516-764-5808
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Provider Business Mailing Address
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Address Line | 77 N CENTRE AVE #300
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3923
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Country | US
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Telephone | 516-764-5807
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Fax | 516-764-5808
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL FRIEDMANN
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Credential | MD
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Telephone | 516-764-5807
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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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