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General NPI Number Information
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NPI Number | 1841235850
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Entity Type | Organization
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Legal Business Name | DIALYSIS CLINIC INC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 2911 FOSTER CREIGHTON DR
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City | NASHVILLE
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State | TN
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Zip | 37204-3705
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Country | US
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Telephone | 615-259-2426
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Fax | 615-259-2862
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Provider Business Mailing Address
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Address Line | 2911 FOSTER CREIGHTON DR
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City | NASHVILLE
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State | TN
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Zip | 37204-3705
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Country | US
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Telephone | 615-259-2426
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Fax | 615-259-2862
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONOVAN SCHULTZ
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Credential |
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Telephone | 615-327-3061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 2939
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 3950
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | MO40001100
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PCN0002204
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 22-02806
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License Number State | KS
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Taxonomy #6
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PHNR000333
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | P05392
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 10674
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | OSP-5916
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License Number State | CO
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Taxonomy #10
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | TN1497
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License Number State | KY
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Taxonomy #11
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | PH24924
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | OS-006427
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License Number State | LA
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Taxonomy #13
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 64001119A
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License Number State | IN
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Taxonomy #14
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 2010033148
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License Number State | MO
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Taxonomy #15
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 113344
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License Number State | AL
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