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General NPI Number Information
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NPI Number | 1902032659
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Entity Type | Organization
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Legal Business Name | KIDNEY CARE INSTITUTE INC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 1711 W TEMPLE ST STE 7200
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City | LOS ANGELES
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State | CA
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Zip | 90026-5421
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Country | US
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Telephone | 888-522-7311
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Fax | 213-484-1948
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Provider Business Mailing Address
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Address Line | 1711 W TEMPLE ST SUITE 7200
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City | LOS ANGELES
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State | CA
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Zip | 90026-5421
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Country | US
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Telephone | 888-522-7311
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Fax | 213-484-1948
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT L ANTHONY
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Credential | MD
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Telephone | 888-522-7311
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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 | A96566
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License Number State | CA
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