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General NPI Number Information
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NPI Number | 1912389164
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Entity Type | Organization
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Legal Business Name | KIDNEY & HYPERTENSION CONSULTANTS
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 2486 NERREDIA ST #E
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City | FLINT
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State | MI
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Zip | 48532-4807
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Country | US
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Telephone | 810-720-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 2486 NERREDIA ST #E
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City | FLINT
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State | MI
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Zip | 48532-4807
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Country | US
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Telephone | 810-720-7400
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTIONER
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Name | MS. DIANE KAY HOLMES
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Credential | NP-BC
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Telephone | 810-720-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MI
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