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Showing codes 1376511618 — 1225006562
1376511618 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
1711 ALTON RD
,
, MIAMI BEACH
, FL
, 33139-2411
Practice Phone
: 305-695-4175;
Practice Fax
: 305-695-4179
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1285602524 -
ALEXANDER
PANAGOS
MD
Other Name
:
Mailing Address
:
421 W EXCHANGE ST
PO BOX 857
FREEPORT
IL
61032-4030
Phone
: 815-599-7958;
Fax
: ;
Practice Location Address
:
1045 W STEPHENSON ST
,
, FREEPORT
, IL
, 61032-4864
Practice Phone
: 815-599-6000;
Practice Fax
:
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1093783334 -
DR.
DR.
SCOTT
LEE
SILLIMAN
MD
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: ;
Fax
: ;
Practice Location Address
:
580 W 8TH ST
, UFJP NEUROLOGY
, JACKSONVILLE
, FL
, 32209-6533
Practice Phone
: 904-244-3960;
Practice Fax
: 904-244-9493
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1902874241 -
KAPIL
SAXENA
MD
Other Name
:
Mailing Address
:
300 LONGWOOD AVE # FEGAN707
CHILDREN'S HOSPITAL BOSTON
BOSTON
MA
02115-5724
Phone
: 617-355-4977;
Fax
: ;
Practice Location Address
:
300 LONGWOOD AVE # FEGAN707
, CHILDREN'S HOSPITAL BOSTON
, BOSTON
, MA
, 02115-5724
Practice Phone
: 617-355-4977;
Practice Fax
:
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1811965155 -
DR.
DR.
ERICH
TYRONE
WYCKOFF
MD
Other Name
:
Mailing Address
:
6440 W NEWBERRY RD STE 508
GAINESVILLE
FL
32605-8303
Phone
: 352-792-6123;
Fax
: 352-792-6138;
Practice Location Address
:
6440 W NEWBERRY RD STE 508
,
, GAINESVILLE
, FL
, 32605-8303
Practice Phone
: 352-792-6123;
Practice Fax
: 352-792-6138
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1720056062 -
TOTAL RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
4401 HOLLYWOOD BLVD
,
, HOLLYWOOD
, FL
, 33021-6609
Practice Phone
: 954-962-2211;
Practice Fax
: 954-964-3546
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1639147978 -
MS.
MS.
DEANNA
A
LEEDOM
CRNA
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
655 W 8TH ST
, UFJP ANESTHESIA DEPT.
, JACKSONVILLE
, FL
, 32209-6511
Practice Phone
: 904-244-4195;
Practice Fax
: 904-244-4908
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1548238884 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1457329799 -
DVA RENAL HEALTHCARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
1117 ARLINGTON AVE N
,
, ST PETERSBURG
, FL
, 33705-1521
Practice Phone
: 727-896-9029;
Practice Fax
: 727-896-7269
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1366410607 -
KRISHNAMURTHY
C
SEKAR
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
1200 EVERETT DR
, 7TH FLOOR NORTH PAVILION
, OKLAHOMA CITY
, OK
, 73104-5047
Practice Phone
: 405-271-5215;
Practice Fax
: 405-271-1236
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1275501512 -
NORTHWEST KANSAS SURGERY CENTER, LLC
Other Name
:
Mailing Address
:
1904 E 29TH STREET
HAYS
KS
67601-2008
Phone
: 785-650-0600;
Fax
: 785-650-0143;
Practice Location Address
:
1904 E 29TH STREET
,
, HAYS
, KS
, 67601-2008
Practice Phone
: 785-650-0600;
Practice Fax
: 785-650-0143
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1184692428 -
DR.
DR.
RICHARD
O'NEAL
LYNCH
MD
Other Name
:
Mailing Address
:
PO BOX 3273
NEW BERN
NC
28564-3273
Phone
: 252-514-6594;
Fax
: ;
Practice Location Address
:
1230 US HIGHWAY 70 E
, SUITE 1
, NEW BERN
, NC
, 28560-6616
Practice Phone
: 252-514-6594;
Practice Fax
:
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1992773238 -
MS.
MS.
LORETTA
ANN
SCHNEPEL
ARNP
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3199;
Fax
: 904-244-3425;
Practice Location Address
:
580 W 8TH ST
, UFJP NEUROLOGY
, JACKSONVILLE
, FL
, 32209-6533
Practice Phone
: 904-244-3960;
Practice Fax
: 904-244-3425
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1801864145 -
DVA RENAL HEALTHCARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
2850 34TH ST S
,
, SAINT PETERSBURG
, FL
, 33711-3817
Practice Phone
: 727-864-4050;
Practice Fax
: 727-864-0013
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1154399491 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
5857 W TENNESSEE ST
,
, TALLAHASSEE
, FL
, 32304-9218
Practice Phone
: 850-350-0002;
Practice Fax
: 850-350-0120
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1063480309 -
PANKAJ
BALUJA
MD
Other Name
:
Mailing Address
:
608 NW 9TH ST STE 4106
OKLAHOMA CITY
OK
73102-1006
Phone
: 405-272-8367;
Fax
: ;
Practice Location Address
:
608 NW 9TH ST STE 4106
,
, OKLAHOMA CITY
, OK
, 73102-1006
Practice Phone
: 405-272-8367;
Practice Fax
:
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1881662120 -
DVA HEALTHCARE RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
4515 GEORGE RD
, STE 300
, TAMPA
, FL
, 33634-7300
Practice Phone
: 813-884-4008;
Practice Fax
: 813-884-1465
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1699743930 -
WESTON DIALYSIS CENTER LLC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
2685 EXECUTIVE PARK DR
, STE 1
, WESTON
, FL
, 33331-3651
Practice Phone
: 954-389-1290;
Practice Fax
: 954-384-8207
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1508834847 -
DR.
DR.
MICHAEL
W
SICARD
M.D.
Other Name
:
Mailing Address
:
6035 FAIRVIEW RD
CHARLOTTE
NC
28210-3256
Phone
: 704-295-3000;
Fax
: 704-294-3468;
Practice Location Address
:
6035 FAIRVIEW RD
,
, CHARLOTTE
, NC
, 28210-3256
Practice Phone
: 704-295-3000;
Practice Fax
: 704-294-3468
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1417925751 -
MEERU
DEVAN
FENDT
P.A.
Other Name
:
Mailing Address
:
700 8TH AVE W
STE 101
PALMETTO
FL
34221-4737
Phone
: 941-776-4008;
Fax
: 941-845-4963;
Practice Location Address
:
1949 NORTHGATE BLVD
,
, SARASOTA
, FL
, 34234-2143
Practice Phone
: 941-373-7844;
Practice Fax
: 941-373-7856
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1326016668 -
MRS.
MRS.
ELAINE
SANDRA
YOUMAN
P.T.
Other Name
:
Mailing Address
:
40 BEECHWOOD DR
DARTMOUTH
MA
02748-1513
Phone
: 508-993-6386;
Fax
: ;
Practice Location Address
:
40 BEECHWOOD DR
,
, DARTMOUTH
, MA
, 02748-1513
Practice Phone
: 508-993-6386;
Practice Fax
:
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1235107574 -
NADER
NAJAFIAN
MD
Other Name
:
Mailing Address
:
75 FRANCIS ST
BOSTON
MA
02115-6110
Phone
: 617-975-0840;
Fax
: ;
Practice Location Address
:
BRIGHAM AND WOMANS HOSPITAL IMMUNOGENETICS & TRANSPLANT
, 75 FRANCIS ST PBB ADM 1
, BOSTON
, MA
, 02115
Practice Phone
: 617-732-5868;
Practice Fax
:
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1144298480 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
1625 UNITY WAY NW
,
, WINTER HAVEN
, FL
, 33881-2107
Practice Phone
: 863-294-8851;
Practice Fax
: 863-294-5212
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1316915655 -
CATHERINE
H
VALENTINE
MD
Other Name
:
Mailing Address
:
530 1ST AVE STE 7F
NEW YORK
NY
10016-6402
Phone
: 646-501-9831;
Fax
: ;
Practice Location Address
:
530 1ST AVE STE 7F
,
, NEW YORK
, NY
, 10016-6402
Practice Phone
: 646-501-9831;
Practice Fax
:
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1396713632 -
PHILIP
J
HOOD
PA
Other Name
:
Mailing Address
:
307 ASBURY RD
WINCHESTER
VA
22602-7926
Phone
: 540-247-6187;
Fax
: ;
Practice Location Address
:
307 ASBURY RD
,
, WINCHESTER
, VA
, 22602-7926
Practice Phone
: 540-247-6187;
Practice Fax
:
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1205804549 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1114995453 -
CLIFFORD
F
SWEET
MD
Other Name
:
Mailing Address
:
5300 BURNHAM RANCH RD
SANTA ROSA
CA
95404-9519
Phone
: 707-569-9787;
Fax
: ;
Practice Location Address
:
401 BICENTENNIAL WAY
,
, SANTA ROSA
, CA
, 95403-2149
Practice Phone
: 707-569-4740;
Practice Fax
:
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1023086360 -
THERESA
C
THAI
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
940 NE 13TH ST
, 4G4250
, OKLAHOMA CITY
, OK
, 73104-5008
Practice Phone
: 405-271-5125;
Practice Fax
: 405-271-3462
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1932177276 -
MR.
MR.
THEODORE
A
POMARICO
RP
Other Name
:
Mailing Address
:
239 OLD BERGEN RD
JERSEY CITY
NJ
07305-2620
Phone
: 201-434-8062;
Fax
: 201-434-7596;
Practice Location Address
:
239 OLD BERGEN RD
,
, JERSEY CITY
, NJ
, 07305-2620
Practice Phone
: 201-434-8062;
Practice Fax
: 201-434-7596
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1841268182 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1669440905 -
PAUL
V
CARLILE
JR.
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 274
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: 405-271-7034;
Practice Location Address
:
825 NE 10TH ST
, OUPB 2500
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-7001;
Practice Fax
:
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1578531810 -
VICTOR
C
TISDAL
III
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
1200 EVERETT DR
, 1NP606
, OKLAHOMA CITY
, OK
, 73104-5047
Practice Phone
: 405-271-5068;
Practice Fax
:
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1487622726 -
SHOUVIK
CHAKRABARTY
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB 4300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-3445;
Practice Fax
:
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1295703536 -
FUNDERBURKS PHARMACY INC
Other Name
:
Mailing Address
:
134 W COMMERCE ST
HERNANDO
MS
38632-2240
Phone
: 662-429-5337;
Fax
: ;
Practice Location Address
:
134 W COMMERCE ST
,
, HERNANDO
, MS
, 38632-2240
Practice Phone
: 662-429-5337;
Practice Fax
:
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1104894443 -
DR.
DR.
THOMAS
JOHN
RYAN
MD
Other Name
:
Mailing Address
:
PO BOX 735044
CHICAGO
IL
60673-5044
Phone
: 414-219-6269;
Fax
: 414-964-4977;
Practice Location Address
:
945 N 12TH ST
,
, MILWAUKEE
, WI
, 53233-1305
Practice Phone
: 414-219-6269;
Practice Fax
:
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1013985357 -
DR.
DR.
JORGE
ALVAREZ-MORENO
M.D.
Other Name
:
Mailing Address
:
5558 SW 8TH ST
CORAL GABLES
FL
33134-2220
Phone
: 305-444-0664;
Fax
: 305-444-0668;
Practice Location Address
:
5558 SW 8TH ST
,
, CORAL GABLES
, FL
, 33134
Practice Phone
: 305-444-0664;
Practice Fax
: 305-444-0668
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1922076264 -
MR.
MR.
ANDREW
P
THRASH
R.PH.
Other Name
:
Mailing Address
:
435 LIFE STYLE LN
WILDWOOD
GA
30757-4174
Phone
: 706-419-0023;
Fax
: 706-820-1474;
Practice Location Address
:
435 LIFE STYLE LN
,
, WILDWOOD
, GA
, 30757-4174
Practice Phone
: 706-419-0023;
Practice Fax
: 706-820-1474
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1831167170 -
DORRY
LYNN
GASCON
CRNA
Other Name
:
Mailing Address
:
1840 AMHERST ST
WINCHESTER
VA
22601-2808
Phone
: 540-536-8000;
Fax
: 540-536-7681;
Practice Location Address
:
1840 AMHERST ST
,
, WINCHESTER
, VA
, 22601-2808
Practice Phone
: 540-536-8000;
Practice Fax
: 540-536-7681
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1740258086 -
ROXIE
M
ALBRECHT
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
711 STANTON L YOUNG BLVD
, PPOB319
, OKLAHOMA CITY
, OK
, 73104-5023
Practice Phone
: 405-271-9440;
Practice Fax
:
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1659349991 -
DOUGLAS
A
DREVETS
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
711 STANTON L YOUNG BLVD
, PPB SUITE 430
, OKLAHOMA CITY
, OK
, 73104-5023
Practice Phone
: 405-271-6434;
Practice Fax
:
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1568430809 -
JEFFREY
S
BENDER
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB2300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-3445;
Practice Fax
:
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1477521714 -
WILLIAM
C
DOOLEY
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB5200
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-7867;
Practice Fax
:
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1386612620 -
JAVID
FAZILI
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB 2300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-8478;
Practice Fax
:
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1295703544 -
CHRISTIAN
A
EL AMM
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB5350
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-4864;
Practice Fax
:
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1104894450 -
DR.
DR.
BETH
ANN
TEEGARDEN
D.O.
Other Name
:
Mailing Address
:
5122 WHITMAN WAY APT 201
CARLSBAD
CA
92008-4652
Phone
: 918-645-9717;
Fax
: ;
Practice Location Address
:
5122 WHITMAN WAY APT 201
,
, CARLSBAD
, CA
, 92008-4652
Practice Phone
: 918-645-9717;
Practice Fax
:
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1013985365 -
DR.
DR.
SHIRLEY
ANNA
CRANDALL
D.C.
Other Name
:
Mailing Address
:
1047 FALMOUTH RD
HYANNIS
MA
02601-2342
Phone
: 508-771-0430;
Fax
: ;
Practice Location Address
:
1047 FALMOUTH RD
,
, HYANNIS
, MA
, 02601-2342
Practice Phone
: 508-771-0430;
Practice Fax
:
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1922076272 -
CHRISTOPHER
KNOTT-CRAIG
MD
Other Name
:
Mailing Address
:
49 N DUNLAP ST FL 3
MEMPHIS
TN
38103-2802
Phone
: ;
Fax
: ;
Practice Location Address
:
51 N DUNLAP ST FL 2
,
, MEMPHIS
, TN
, 38105-4625
Practice Phone
: 901-287-7337;
Practice Fax
: 901-287-4646
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1831167188 -
JILA S WAIKHOM M D &ASSOCIATES INC
Other Name
:
Mailing Address
:
440 SUGARBROOK TRL
BELLBROOK
OH
45305-9760
Phone
: 937-426-8235;
Fax
: ;
Practice Location Address
:
440 SUGARBROOK TRL
,
, BELLBROOK
, OH
, 45305-9760
Practice Phone
: 937-426-8235;
Practice Fax
:
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1568430817 -
DR.
DR.
YASSER
KHOUDEIR
MD, FACP
Other Name
:
Mailing Address
:
2300 OPITZ BLVD STE G-209
WOODBRIDGE
VA
22191-3311
Phone
: 703-523-0611;
Fax
: 703-670-2089;
Practice Location Address
:
2010 HEALTH CAMPUS DR
,
, ROCKINGHAM
, VA
, 22801-8679
Practice Phone
: 540-689-1110;
Practice Fax
: 540-689-1119
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1477521722 -
DORMAN
J
MORSMAN
IV
PA
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
711 STANTON L YOUNG BLVD
, PPOB319
, OKLAHOMA CITY
, OK
, 73104-5023
Practice Phone
: 405-271-5789;
Practice Fax
:
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1386612638 -
CIARAN
M
OHARE
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB2300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-5781;
Practice Fax
:
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1194793448 -
PETER
PASTUSZKO
MD
Other Name
:
Mailing Address
:
1184 5TH AVENUE
BOX 1028
NEW YORK
NY
10029-4619
Phone
: 212-241-3814;
Fax
: ;
Practice Location Address
:
1184 5TH AVE
,
, NEW YORK
, NY
, 10029-6503
Practice Phone
: 212-241-3814;
Practice Fax
:
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1003884354 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1912975269 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1821066176 -
NIKOLA
K
PUFFINBARGER
MD
Other Name
:
Mailing Address
:
150 HARVESTER DR STE 300
BURR RIDGE
IL
60527-5965
Phone
: ;
Fax
: ;
Practice Location Address
:
5841 S MARYLAND AVE
,
, CHICAGO
, IL
, 60637-1443
Practice Phone
: 888-824-0200;
Practice Fax
:
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1730157082 -
KAMAL
T
SAWAN
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB5350
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-4864;
Practice Fax
:
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1649248998 -
DR.
DR.
WERNER
HOLLSTEIN
MD
Other Name
:
Mailing Address
:
901 S OAKLAND ST STE 201
SAINT JOHNS
MI
48879-2200
Phone
: 989-224-2338;
Fax
: 989-224-2065;
Practice Location Address
:
901 S OAKLAND ST STE 201
,
, SAINT JOHNS
, MI
, 48879-2200
Practice Phone
: 989-224-2338;
Practice Fax
: 989-224-2065
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1558339804 -
RONALD
A
SQUIRES
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB2300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-6304;
Practice Fax
:
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1467420711 -
DONALD
E
STOWELL
MD
Other Name
:
Mailing Address
:
1617 N CALIFORNIA ST STE 1D
STOCKTON
CA
95204-6117
Phone
: 209-579-5628;
Fax
: ;
Practice Location Address
:
1617 N CALIFORNIA ST STE 1D
,
, STOCKTON
, CA
, 95204
Practice Phone
: 209-948-1234;
Practice Fax
:
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1376511626 -
DR.
DR.
KARISSA
MARIE
PELSON
D.P.T.
Other Name
:
Mailing Address
:
2673 TRINITY WAY
GRANTS PASS
OR
97527-6720
Phone
: 541-476-1697;
Fax
: ;
Practice Location Address
:
2673 TRINITY WAY
,
, GRANTS PASS
, OR
, 97527-6720
Practice Phone
: 541-476-1697;
Practice Fax
:
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1285602532 -
TIMOTHY
H
TROTTER
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB2500
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-5789;
Practice Fax
:
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1093783342 -
MS.
MS.
CHRISTINE
ANNE
LINABURY
PT
Other Name
:
Mailing Address
:
2563 BEECHWOOD DR SE
GRAND RAPIDS
MI
49506-4254
Phone
: 616-942-2479;
Fax
: ;
Practice Location Address
:
1940 44TH ST SE
,
, KENTWOOD
, MI
, 49508-5008
Practice Phone
: 616-281-4556;
Practice Fax
: 616-281-4786
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1902874258 -
EDWARD
F
WADLEY
PA
Other Name
:
EDWARD
F. RANCE
WADLEY
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
700 NE 13TH ST
, TRAUMA CENTER
, OKLAHOMA CITY
, OK
, 73104-5004
Practice Phone
: 405-271-5781;
Practice Fax
:
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1811965163 -
KAROL
ANN
LANCASTER
RN
Other Name
:
KAROL
ANN
BAKER
Mailing Address
:
8604 26TH ST W
# 126
UNIVERSITY PLACE
WA
98466-8281
Phone
: 253-565-2557;
Fax
: ;
Practice Location Address
:
MADIGAN ARMY MEDICAL CENTER
, ATTN: MCHJ-PV/C (ANN LANCASTER)
, TACOMA
, WA
, 98431-0001
Practice Phone
: 253-968-4388;
Practice Fax
: 253-968-4389
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1720056070 -
CHRISTINE
BRUNI
MD
Other Name
:
Mailing Address
:
TRAUBENWEG 8
HIRSCHBERG
BADEN-WUERTTEMBERG
69493
Phone
: 011496201959176;
Fax
: 011496201959178;
Practice Location Address
:
TRAUBENWEG 8
,
, HIRSCHBERG
, BADEN-WUERTTEMBERG
, 69493
Practice Phone
: 011496201959176;
Practice Fax
: 011496201959178
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1639147986 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1548238892 -
REYNALD
ALTEMA
M.D.
Other Name
:
Mailing Address
:
PO BOX 417
STUART
FL
34995-0417
Phone
: 772-223-2832;
Fax
: 772-223-5646;
Practice Location Address
:
200 SE HOSPITAL AVE
,
, STUART
, FL
, 34994-2346
Practice Phone
: 772-223-5618;
Practice Fax
: 772-288-5834
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1457329708 -
DR.
DR.
DENISE
PETENZI
DPM
Other Name
:
Mailing Address
:
2644 N WAYNE AVE
UNIT C
CHICAGO
IL
60614
Phone
: 312-505-0156;
Fax
: 773-529-3911;
Practice Location Address
:
3758W CHICAGO AVE
,
, CHICAGO
, IL
, 60651-3823
Practice Phone
: 312-505-0156;
Practice Fax
: 773-529-3911
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1366410615 -
DALE HUGHES LICENSED CLINICAL SOCIAL WORKER CORP
Other Name
:
Mailing Address
:
25500 HAWTHORNE BLVD STE 1152
TORRANCE
CA
90505-6834
Phone
: 310-373-3888;
Fax
: 310-373-5354;
Practice Location Address
:
25500 HAWTHORNE BLVD STE 1152
,
, TORRANCE
, CA
, 90505-6834
Practice Phone
: 310-373-3888;
Practice Fax
: 310-373-5354
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1275501520 -
NEW BEGINNINGS REHABILITATION SERVICES, INC.
Other Name
:
Mailing Address
:
7000 W OAKLAND PARK BLVD
SUITE # 201
LAUDERHILL
FL
33313-1016
Phone
: 954-297-0425;
Fax
: 954-587-5213;
Practice Location Address
:
7000 W OAKLAND PARK BLVD
, SUITE # 201
, LAUDERHILL
, FL
, 33313-1016
Practice Phone
: 954-297-0425;
Practice Fax
: 954-587-5213
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1184692436 -
ROBERT B KIRTON, DPM INC
Other Name
:
Mailing Address
:
105 E REYNOLDS DR
D
RUSTON
LA
71270-2804
Phone
: ;
Fax
: ;
Practice Location Address
:
105 E REYNOLDS DR
,
, RUSTON
, LA
, 71270-2804
Practice Phone
: 318-255-3234;
Practice Fax
: 318-251-9783
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1992773246 -
HECTOR
A
LALAMA
MD PA
Other Name
:
Mailing Address
:
801 SANTIAGO ST
CORAL GABLES
FL
33134-2518
Phone
: 305-448-9797;
Fax
: 305-448-9791;
Practice Location Address
:
801 SANTIAGO ST
,
, CORAL GABLES
, FL
, 33134-2518
Practice Phone
: 305-448-9797;
Practice Fax
: 305-448-9791
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1801864152 -
MRS.
MRS.
KRISTIN
LYNN
BARONIO
MS, ATC, CSCS
Other Name
:
KRISTIN
LYNN
MUELLER
Mailing Address
:
2206 CHARWOOD DR
LANCASHIRE
WILMINGTON
DE
19810-2802
Phone
: 302-529-5840;
Fax
: ;
Practice Location Address
:
2206 CHARWOOD DR
, LANCASHIRE
, WILMINGTON
, DE
, 19810-2802
Practice Phone
: 302-529-5840;
Practice Fax
:
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1710955067 -
ELLEN
C.
SACKETT
MD
Other Name
:
Mailing Address
:
PO BOX 40767
CREDENTIALING DEPARTMENT
JACKSONVILLE
FL
32203-0767
Phone
: 904-376-3707;
Fax
: 904-391-5807;
Practice Location Address
:
6142 COLLINS RD
, CREDENTIALING DEPARTMENT
, JACKSONVILLE
, FL
, 32244-5806
Practice Phone
: 904-778-3200;
Practice Fax
: 904-778-9835
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1629046974 -
RASHMI
U
SCHRAMM
MD
Other Name
:
Mailing Address
:
PO BOX 45443
SALT LAKE CITY
UT
84145-0443
Phone
: 904-202-1032;
Fax
: 904-376-4107;
Practice Location Address
:
141 HILDEN RD STE 201
,
, PONTE VEDRA
, FL
, 32081-8400
Practice Phone
: 904-825-1941;
Practice Fax
: 904-829-2850
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1538137880 -
MR.
MR.
ROBERT
SALVATORE
REO
L.C.S.W.
Other Name
:
Mailing Address
:
661 SHREWSBURY AVE
SHREWSBURY
NJ
07702-4183
Phone
: 732-345-3429;
Fax
: 732-345-3401;
Practice Location Address
:
661 SHREWSBURY AVE
,
, SHREWSBURY
, NJ
, 07702-4183
Practice Phone
: 732-345-3429;
Practice Fax
: 732-345-3401
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1104894435 -
JOHN
H.
HAJJAR
MD
Other Name
:
Mailing Address
:
680 KINDERKAMACK RD STE 3
ORADELL
NJ
07649-1600
Phone
: 201-803-2573;
Fax
: 201-791-6585;
Practice Location Address
:
631 GRAND ST
,
, JERSEY CITY
, NJ
, 07304-3451
Practice Phone
: 201-803-2573;
Practice Fax
: 201-791-6585
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1013985340 -
DR.
DR.
WALTER
SCOTT
MILLER
MD
Other Name
:
Mailing Address
:
10042 WOLF ROAD SUITE A
GRASS VALLEY
CA
95949
Phone
: 530-268-8778;
Fax
: 530-268-8765;
Practice Location Address
:
10042 WOLF ROAD
, SUITE A
, GRASS VALLEY
, CA
, 95949
Practice Phone
: 530-268-8778;
Practice Fax
: 530-268-8765
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1922076256 -
TAMARA
MILLER
CRNA
Other Name
:
Mailing Address
:
130 TOWN CENTER DR STE 203
BEAUMONT PHYSICIAN PARTNERS PAYOR ENROLLMENT
TROY
MI
48084-1744
Phone
: ;
Fax
: ;
Practice Location Address
:
3601 W 13 MILE RD
,
, ROYAL OAK
, MI
, 48073-6712
Practice Phone
: 248-898-7784;
Practice Fax
:
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1831167162 -
SAM
H.
HESSAMI
MD
Other Name
:
Mailing Address
:
400 N PEPPER AVE # 206
COLTON
CA
92324-1801
Phone
: 909-580-2270;
Fax
: 909-580-3289;
Practice Location Address
:
400 N PEPPER AVE # 206
,
, COLTON
, CA
, 92324-1801
Practice Phone
: 909-580-2270;
Practice Fax
: 909-580-3289
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1740258078 -
BONITA
SUE
WESTWOOD
A.P.N.
Other Name
:
Mailing Address
:
PO BOX 397
PLAINVIEW
AR
72857-0397
Phone
: 479-272-4236;
Fax
: 479-272-4424;
Practice Location Address
:
102 NORTH GARFIELD
,
, PLAINVIEW
, AR
, 72857
Practice Phone
: 479-272-4236;
Practice Fax
: 479-272-4424
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1659349983 -
DVA RENAL HEALTHCARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
1424 US HIGHWAY 1
, STE C
, SEBASTIAN
, FL
, 32958-1619
Practice Phone
: 772-589-9182;
Practice Fax
: 772-589-9959
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1568430890 -
DR.
DR.
MARYANNE
W
LINDSAY
MD
Other Name
:
Mailing Address
:
105 ARBORETUM CT
LEWISVILLE
NC
27023-8659
Phone
: 336-778-2741;
Fax
: ;
Practice Location Address
:
PEMA
, 3101 LATROBE DRIVE
, CHARLOTTE
, NC
, 28211
Practice Phone
: 704-376-7362;
Practice Fax
:
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1710955059 -
ISABELLE
BONNIE
BAIRD
A.R.N.P.
Other Name
:
Mailing Address
:
700 8TH AVE W
STE 101
PALMETTO
FL
34221-4737
Phone
: 941-776-4008;
Fax
: 941-845-4963;
Practice Location Address
:
2318 MANATEE AVE W
,
, BRADENTON
, FL
, 34205-5432
Practice Phone
: 941-776-4008;
Practice Fax
: 941-845-4963
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1629046966 -
DVA HEALTHCARE RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
783 CORTARO DR
,
, RUSKIN
, FL
, 33573-6812
Practice Phone
: 813-633-2847;
Practice Fax
: 813-633-2972
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1538137872 -
MS.
MS.
JANICE
LEE
DANIEL
ARNP
Other Name
:
Mailing Address
:
PO BOX 44008
UFJP PROVIDER ENROLLMENT
JACKSONVILLE
FL
32231-4008
Phone
: 904-244-3660;
Fax
: 904-244-3425;
Practice Location Address
:
580 W 8TH ST
, UFJP NEUROLOGY
, JACKSONVILLE
, FL
, 32209-6533
Practice Phone
: 904-244-3960;
Practice Fax
: 904-244-3425
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1447228788 -
FREEPORT MEMORIAL HOSPITAL
Other Name
:
Mailing Address
:
1045 W STEPHENSON ST
PO BOX 857
FREEPORT
IL
61032-4864
Phone
: 815-599-6000;
Fax
: ;
Practice Location Address
:
1045 W STEPHENSON ST
,
, FREEPORT
, IL
, 61032-4864
Practice Phone
: 815-599-6000;
Practice Fax
:
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1356319693 -
DEBORAH
L
SHROPSHIRE
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: ;
Fax
: ;
Practice Location Address
:
1200 N PHILLIPS AVE
, SUITE 6100
, OKLAHOMA CITY
, OK
, 73104-4600
Practice Phone
: 405-271-6827;
Practice Fax
: 405-271-4418
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1265400501 -
DVA HEALTHCARE RENAL CARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
1607 PHYSICIANS DR
,
, TALLAHASSEE
, FL
, 32308-4620
Practice Phone
: 850-878-8776;
Practice Fax
: 850-878-9004
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1174591416 -
DR.
DR.
KARL
LI-FENG
YEN
M.D.
Other Name
:
Mailing Address
:
244 BRIGHTON AVE
APT 205
ALLSTON
MA
02134-2038
Phone
: 617-787-8174;
Fax
: ;
Practice Location Address
:
300 LONGWOOD AVE
,
, BOSTON
, MA
, 02115-5724
Practice Phone
: 617-355-7327;
Practice Fax
:
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1083682322 -
JANE
F
SILOVSKY
PHD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
940 NE 13TH ST
, 3B3406
, OKLAHOMA CITY
, OK
, 73104-5008
Practice Phone
: 405-271-8858;
Practice Fax
:
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1891763132 -
DVA RENAL HEALTHCARE, INC.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
2410 S ADAMS ST
,
, TALLAHASSEE
, FL
, 32301-6325
Practice Phone
: 850-224-8757;
Practice Fax
: 850-224-8766
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1700854049 -
ZAHID
B
AHMAD
MD
Other Name
:
Mailing Address
:
1122 NE 13TH ST
ORI 236
OKLAHOMA CITY
OK
73117-1039
Phone
: 405-271-1515;
Fax
: ;
Practice Location Address
:
825 NE 10TH ST
, OUPB 2300
, OKLAHOMA CITY
, OK
, 73104-5417
Practice Phone
: 405-271-8478;
Practice Fax
:
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1619945953 -
DR.
DR.
VENKATASOMAIAH
CHOUDARY
MOTAPARTHY
M.D.
Other Name
:
Mailing Address
:
2705 MEDICAL OFFICE PL
GOLDSBORO
NC
27534-9458
Phone
: 919-731-2526;
Fax
: 919-580-0988;
Practice Location Address
:
2705 MEDICAL OFFICE PL
,
, GOLDSBORO
, NC
, 27534-9458
Practice Phone
: 919-731-2526;
Practice Fax
: 919-580-0988
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1528036860 -
TOTAL RENAL CARE INC
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: 615-320-4593;
Fax
: 800-293-5872;
Practice Location Address
:
7140 W MCNAB RD
,
, TAMARAC
, FL
, 33321-5306
Practice Phone
: 954-720-5336;
Practice Fax
: 954-720-3626
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1518935857 -
STUART
BRADLEY
FISCHER
MD
Other Name
:
Mailing Address
:
1434 WILLIAMSBRIDGE RD FL 2
BRONX
NY
10461-2507
Phone
: 718-618-0401;
Fax
: 347-479-1303;
Practice Location Address
:
2015 GRAND CONCOURSE
,
, BRONX
, NY
, 10453-4303
Practice Phone
: 718-299-7295;
Practice Fax
: 718-299-6797
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1427026764 -
LESLIE
WARD
DECOU
A.R.N.P.
Other Name
:
Mailing Address
:
700 8TH AVE W
STE 101
PALMETTO
FL
34221-4737
Phone
: 941-776-4008;
Fax
: 941-845-4963;
Practice Location Address
:
37220 GLENWOOD AVE.
,
, MYAKKA
, FL
, 34251
Practice Phone
: 941-322-6500;
Practice Fax
: 941-322-6505
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1336117670 -
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Other Name
:
Mailing Address
:
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD
TN
37027-7569
Phone
: ;
Fax
: ;
Practice Location Address
:
8333 N DAVIS HWY
, 1ST FLOOR ATTN DIALYSIS ROOM
, PENSACOLA
, FL
, 32514-6050
Practice Phone
: 850-474-8424;
Practice Fax
: 850-969-2879
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1245208586 -
MELINDA
JANE
DOWNES
A.R.N.P.
Other Name
:
Mailing Address
:
1515 26TH AVE E
BRADENTON
FL
34208-7707
Phone
: 941-708-8600;
Fax
: 941-708-7645;
Practice Location Address
:
1515 26TH AVE E
,
, BRADENTON
, FL
, 34208-7707
Practice Phone
: 941-708-8600;
Practice Fax
: 941-708-7645
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1225006562 -
HEATHER
D
DUNCAN
MPT
Other Name
:
Mailing Address
:
5254 UTICA RIDGE RD
DAVENPORT
IA
52807
Phone
: 563-359-3799;
Fax
: 563-359-3804;
Practice Location Address
:
5254 UTICA RIDGE RD
,
, DAVENPORT
, IA
, 52807
Practice Phone
: 563-359-3799;
Practice Fax
: 563-359-3804
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