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General NPI Number Information
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NPI Number | 1851212823
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Entity Type | Organization
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Legal Business Name | VSP NEPHROLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 20450 E PENNSYLVANIA AVE
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City | DUNNELLON
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State | FL
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Zip | 34432-6030
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Country | US
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Telephone | 352-470-0230
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Fax | 352-240-3710
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Provider Business Mailing Address
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Address Line | 2063 N LECANTO HWY STE 1
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City | LECANTO
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State | FL
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Zip | 34461-9675
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Country | US
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Telephone | 352-470-0230
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Fax | 352-240-3710
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Authorized Official
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Title or Position | OWNER
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Name | SMITA PADALA
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Credential |
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Telephone | 352-533-4422
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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 |
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License Number State |
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