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General NPI Number Information
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NPI Number | 1700294832
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Entity Type | Organization
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Legal Business Name | NORTHWEST KIDNEY SPECIALISTS, PLLC
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 27700 NORTHWEST FWY SUITE 330
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City | CYPRESS
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State | TX
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Zip | 77433-6766
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Country | US
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Telephone | 281-908-8047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1536
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City | CYPRESS
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State | TX
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Zip | 77410-1536
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Country | US
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Telephone | 281-908-8047
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Fax | 281-456-3981
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SUMIKO ARMSTEAD
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Credential | M.D.
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Telephone | 281-908-8047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N4916
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | N4916
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License Number State | TX
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