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General NPI Number Information
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NPI Number | 1891744322
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 701 GREENE ST STE 200
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City | AUGUSTA
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State | GA
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Zip | 30901-2385
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Country | US
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Telephone | 706-722-6900
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Fax | 706-722-5118
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Provider Business Mailing Address
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Address Line | 701 GREENE ST STE 200
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City | AUGUSTA
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State | GA
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Zip | 30901-2385
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Country | US
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Telephone | 706-722-6900
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Fax | 706-722-5118
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Authorized Official
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Title or Position | DIRECTOR
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Name | BARTON C BREZINA
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Credential | M.D.
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Telephone | 706-722-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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