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General NPI Number Information
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NPI Number | 1659428118
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Entity Type | Organization
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Legal Business Name | METRO RENAL ASSOCIATES LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 821 N EUTAW ST STE 407
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City | BALTIMORE
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State | MD
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Zip | 21201-6304
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Country | US
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Telephone | 410-439-1332
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Fax | 410-439-1335
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Provider Business Mailing Address
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Address Line | 821 N EUTAW ST SUITE 401
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City | BALTIMORE
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State | MD
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Zip | 21201-6304
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Country | US
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Telephone | 410-439-1332
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Fax | 410-439-1335
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NENA MARIE KELLER
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Credential |
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Telephone | 410-439-1332
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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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