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General NPI Number Information
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NPI Number | 1932991635
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Entity Type | Organization
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Legal Business Name | 3 LIONS KIDNEY CARE PLLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 167 WEDDINGTON BRANCH RD
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City | PIKEVILLE
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State | KY
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Zip | 41501-3204
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Country | US
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Telephone | 734-881-6044
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Fax |
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Provider Business Mailing Address
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Address Line | 111 RENEE LN UNIT C5
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City | PIKEVILLE
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State | KY
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Zip | 41501-8932
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Country | US
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Telephone | 734-881-6044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | UMMERUBAB SYEDA
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Credential | MD
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Telephone | 734-881-6044
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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 |
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License Number State |
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