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General NPI Number Information
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NPI Number | 1912079658
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Entity Type | Organization
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Legal Business Name | KIDNEY SOLUTIONS OF TEXAS LLC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 2626 SOUTH LOOP W #520
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City | HOUSTON
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State | TX
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Zip | 77054-2691
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Country | US
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Telephone | 713-661-7733
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Fax | 713-661-7755
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Provider Business Mailing Address
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Address Line | 2626 SOUTH LOOP W #520
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City | HOUSTON
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State | TX
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Zip | 77054-2691
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Country | US
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Telephone | 713-661-7733
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Fax | 713-661-7755
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RACHEL EASON
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Credential | RN
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Telephone | 713-661-7733
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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 | 008321
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License Number State | TX
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