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General NPI Number Information
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NPI Number | 1750239661
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Entity Type | Organization
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Legal Business Name | GREENPATH KIDNEY AND HYPERTENSION CLINIC
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 635 ANDERSON RD STE 5
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City | DAVIS
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State | CA
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Zip | 95616-3505
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Country | US
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Telephone | 925-997-4483
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 BAYWOOD LN
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City | DAVIS
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State | CA
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Zip | 95618-0500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JAFAR ALSAID
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Credential | MD
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Telephone | 925-997-4483
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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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