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General NPI Number Information
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NPI Number | 1801290424
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Entity Type | Organization
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Legal Business Name | SAI NEPHROLOGY LLC
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 668 N BEERS ST SUITE 100
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City | HOLMDEL
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State | NJ
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Zip | 07733-1526
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Country | US
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Telephone | 732-264-2723
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 E 65TH ST FL 1
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City | BROOKLYN
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State | NY
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Zip | 11234-6825
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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 | MEMBER/MANAGER
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Name | DR. ATUL MAINI
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Credential |
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Telephone | 347-275-5759
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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 | 25MA09258400
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License Number State | NJ
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