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General NPI Number Information
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NPI Number | 1851346076
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Entity Type | Organization
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Legal Business Name | DSI RENAL INC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 1489 W WARM SPRINGS RD #122
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City | HENDERSON
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State | NV
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Zip | 89014-7635
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Country | US
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Telephone | 702-450-8877
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Fax | 702-450-8887
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Provider Business Mailing Address
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Address Line | 511 UNION ST SUITE 1800
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City | NASHVILLE
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State | TN
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Zip | 37219-1733
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Country | US
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Telephone | 615-467-0134
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Fax | 615-234-2422
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Authorized Official
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Title or Position | VP OF REIMBURSEMENT
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Name | MRS. GRETCHEN K BARR
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Credential |
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Telephone | 615-467-0134
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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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