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General NPI Number Information
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NPI Number | 1033303854
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Entity Type | Organization
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Legal Business Name | RICHARD R RENAUD, M.D.,P.C.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 72 WASHINGTON ST SUITE 1000
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City | TAUNTON
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State | MA
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Zip | 02780-7407
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Country | US
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Telephone | 508-822-1514
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Fax |
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Provider Business Mailing Address
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Address Line | 72 WASHINGTON ST SUITE 1000
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City | TAUNTON
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State | MA
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Zip | 02780-7407
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Country | US
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Telephone | 508-822-1514
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOAN LEWIS
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Credential |
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Telephone | 508-822-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 57079
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License Number State | MA
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