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General NPI Number Information
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NPI Number | 1154641777
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Entity Type | Organization
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Legal Business Name | RAINBOW HIMES INC
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Dates
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Enumeration Date | 06/05/2010
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Last Update Date | 06/05/2010
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Provider Practice Location Address
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Address Line | 762 COPPERHEAD CIR
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-2750
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Country | US
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Telephone | 904-392-9203
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Fax | 904-940-5825
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Provider Business Mailing Address
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Address Line | 762 COPPERHEAD CIR
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-2750
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Country | US
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Telephone | 904-392-9203
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Fax | 904-940-5825
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Authorized Official
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Title or Position | TREASURER
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Name | KENNETH GREINER
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Credential |
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Telephone | 904-392-9203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 4800648
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License Number State | OH
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