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General NPI Number Information
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NPI Number | 1952914681
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Entity Type | Organization
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Legal Business Name | WEST COAST KIDNEY
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 2222 EAST ST STE 305
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City | CONCORD
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State | CA
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Zip | 94520-2066
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Country | US
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Telephone | 925-686-1230
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 EAST ST STE 305
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City | CONCORD
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State | CA
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Zip | 94520-2066
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Country | US
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Telephone | 925-686-1230
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROHIT SHARMA
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Credential | MD
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Telephone | 925-686-1230
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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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