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General NPI Number Information
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NPI Number | 1629888334
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Entity Type | Organization
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Legal Business Name | KIDNEY AND HYPERTENSION GROUP OF FLORIDA LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2001 NE 48TH CT STE 4
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4512
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Country | US
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Telephone | 954-771-3929
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Fax | 954-771-2393
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Provider Business Mailing Address
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Address Line | 2001 NE 48TH CT STE 4
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4512
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Country | US
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Telephone | 954-771-3929
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Fax | 954-771-2393
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Authorized Official
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Title or Position | MANAGER
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Name | DR. GABRIEL A VALLE
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Credential | MD
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Telephone | 954-931-4713
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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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