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General NPI Number Information
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NPI Number | 1962992404
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Entity Type | Organization
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Legal Business Name | KIDNEY CARE SPECIALISTS LLC
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2000 SPROUL RD STE 300
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City | BROOMALL
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State | PA
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Zip | 19008-3509
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Country | US
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Telephone | 610-295-1046
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Fax | 484-403-7297
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Provider Business Mailing Address
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Address Line | 2000 SPROUL RD STE 300
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City | BROOMALL
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State | PA
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Zip | 19008-3509
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Country | US
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Telephone | 610-295-1046
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Fax | 484-403-7297
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KAREN THOMPSON
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Credential | MSHCM, BSN, RN
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Telephone | 610-295-1046
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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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