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General NPI Number Information
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NPI Number | 1669133583
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Entity Type | Organization
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Legal Business Name | ADVANCED KIDNEY CARE AND HYPERTENSION OF SOUTH JERSEY LLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 777 S WHITE HORSE PIKE STE B3
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City | HAMMONTON
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State | NJ
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Zip | 08037-2029
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Country | US
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Telephone | 856-873-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 777 S WHITE HORSE PIKE STE B3
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City | HAMMONTON
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State | NJ
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Zip | 08037-2029
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Country | US
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Telephone | 856-873-2066
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ARUN CHAWLA
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Credential | MD, MBBS
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Telephone | 856-873-2066
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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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