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General NPI Number Information
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NPI Number | 1730391731
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Entity Type | Organization
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Legal Business Name | KIDNEY ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 3847 TEAYS VALLEY ROAD SUITE A
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City | HURRICANE
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State | WV
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Zip | 25526-9622
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Country | US
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Telephone | 304-760-8904
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Fax | 304-760-8913
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Provider Business Mailing Address
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Address Line | 3847 TEAYS VALLEY ROAD SUITE A
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City | HURRICANE
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State | WV
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Zip | 25526-9622
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Country | US
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Telephone | 304-760-8904
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Fax | 304-760-8913
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONATHAN MEDENILLA ZUNIGA
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Credential | M.D.
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Telephone | 304-760-8904
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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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