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Duston Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Wayne, Indiana
NPI 1558716019

Duston Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Duston Dialysis, Llc practices in Fort Wayne, IN. The NPI Number for Duston Dialysis, Llc is 1558716019 and holds a License No. (Indiana).

The current practice location address for Duston Dialysis, Llc is 415 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-637-0431 and via fax at 260-637-6641. You can also correspond with Duston Dialysis, Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: ).

Location: 415 E Dupont Rd, Fort Wayne, IN, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558716019
Provider Name
Duston Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
415 E Dupont Rd, Fort Wayne, IN, 37027-7569
Phone Number
260-637-0431
Fax Number
260-637-6641
Provider Enumeration Date
05/03/2016
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300010335 05 IN
institution
Provider Business Practice Location Address Details
Address
415 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-2051
Phone Number
260-637-0431
Fax Number
260-637-6641
person
Provider Business Mailing Address Details
Address
415 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-2051
Phone Number
260-637-0431
Fax Number
260-637-6641
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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