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General NPI Number Information
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NPI Number | 1942973862
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Entity Type | Organization
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Legal Business Name | FALLS KIDNEY AND HYPERTENSION
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1801 9TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-5029
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Country | US
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Telephone | 940-764-9485
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4648
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City | WICHITA FALLS
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State | TX
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Zip | 76308-0648
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Country | US
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Telephone | 940-257-8068
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAJANI KATKURI
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Credential | MD
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Telephone | 940-257-8068
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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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