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General NPI Number Information
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NPI Number | 1811788466
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Entity Type | Organization
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Legal Business Name | PALM BEACH DIALYSIS CENTER LLC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 6400 HYPOLUXO RD STE 101
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City | LAKE WORTH
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State | FL
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Zip | 33463-7320
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Country | US
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Telephone | 561-619-8472
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Fax | 888-883-8559
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Provider Business Mailing Address
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Address Line | 6400 HYPOLUXO RD
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City | LAKE WORTH
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State | FL
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Zip | 33463-7320
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Country | US
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Telephone | 561-619-8472
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Fax | 888-883-8559
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Authorized Official
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Title or Position | DIRECTOR OF TECHNICAL
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Name | DOMINGO TORRENS
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Credential |
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Telephone | 954-410-5789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health 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 | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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