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General NPI Number Information
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NPI Number | 1841955044
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Entity Type | Organization
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Legal Business Name | LEJEUNE RENAL CENTER LLC
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 7900 NW 27TH AVE STE F10-11
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City | MIAMI
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State | FL
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Zip | 33147-4909
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Country | US
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Telephone | 305-856-3287
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 NW 27TH AVE STE F10-11
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City | MIAMI
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State | FL
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Zip | 33147-4909
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Country | US
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Telephone | 305-856-3287
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE SUPPORT
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Name | LIZ CANO
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Credential |
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Telephone | 786-683-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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