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General NPI Number Information
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NPI Number | 1770525289
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Entity Type | Organization
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Legal Business Name | RENAL CONSULTANT'S, INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 2600 TUSCARAWAS ST W
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City | CANTON
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State | OH
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Zip | 44708-4644
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Country | US
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Telephone | 330-454-9126
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Fax | 330-454-9470
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Provider Business Mailing Address
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Address Line | 2600 TUSCARAWAS ST W SUITE 160
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City | CANTON
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State | OH
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Zip | 44708-4644
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Country | US
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Telephone | 330-454-9126
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Fax | 330-454-9470
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARUP MAITRA
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Credential | M.D.
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Telephone | 330-454-9126
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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 | OH
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