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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI Number | 1972552156 |
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| LBN Legal business name | DULUTH KIDNEY SERVICES LLC | ||||||||||||
| Authorized official | SANDY POPHAM - (OWNER MD) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/08/2006 | ||||||||||||
| Last updated | 11/11/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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DULUTH KIDNEY SERVICES LLC