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General NPI Number Information
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NPI Number | 1760468037
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Entity Type | Organization
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Legal Business Name | ADVANCED KIDNEY CARE MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 372 N CRAIG ST STE 101
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City | PITTSBURGH
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State | PA
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Zip | 15213-1245
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Country | US
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Telephone | 412-683-7560
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Fax | 412-683-6992
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Provider Business Mailing Address
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Address Line | 372 N CRAIG ST STE 101
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City | PITTSBURGH
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State | PA
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Zip | 15213-1245
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Country | US
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Telephone | 412-683-7560
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Fax | 412-683-6992
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELO D LUPARIELLO
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Credential | MD
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Telephone | 412-683-7560
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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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