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General NPI Number Information
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NPI Number | 1801684543
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Entity Type | Organization
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Legal Business Name | KENDALL KIDNEY CLINIC, LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 13500 SW 88TH ST STE 165
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City | MIAMI
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State | FL
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Zip | 33186-1550
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Country | US
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Telephone | 305-388-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 700 TAMARACK RD
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City | STOWE
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State | VT
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Zip | 05672-4206
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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 | PRESIDENT
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Name | DR. SCOTT CRAWFORD
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Credential | DVM
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Telephone | 508-944-6304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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