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General NPI Number Information
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NPI Number | 1023973229
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Entity Type | Organization
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Legal Business Name | RENNADAVISCARES LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 272 S MUSKET RIDGE DR #3
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City | SUN PRAIRIE
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State | WI
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Zip | 53590
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Country | US
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Telephone | 608-733-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 939 S PARK ST PMB1112
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City | MADISON
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State | WI
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Zip | 53715-1833
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Country | US
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Telephone | 608-733-0656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROBIN THOMPSON
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Credential |
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Telephone | 608-733-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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