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General NPI Number Information
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NPI Number | 1659152700
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Entity Type | Organization
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Legal Business Name | HYPERTENSION & KIDNEY SPECIALIST, PC
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 10217 SWANHAVEN CT
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City | RALEIGH
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State | NC
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Zip | 27617-7558
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Country | US
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Telephone | 716-536-2961
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Fax |
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Provider Business Mailing Address
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Address Line | 10217 SWANHAVEN CT
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City | RALEIGH
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State | NC
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Zip | 27617-7558
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Country | US
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Telephone | 716-536-2961
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MANPREET BHUTANI
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Credential | MD
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Telephone | 716-536-2961
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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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