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General NPI Number Information
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NPI Number | 1255326641
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Entity Type | Organization
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Legal Business Name | RENAISSANCE NURSING SERVICES LLC
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 1300 N. 10TH ST. #320
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City | MCALLEN
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State | TX
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Zip | 78501-4392
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Country | US
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Telephone | 956-686-9625
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Fax | 956-686-9675
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Provider Business Mailing Address
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Address Line | 1300 N. 10TH ST #320
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City | MCALLEN
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State | TX
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Zip | 78501-4392
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Country | US
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Telephone | 956-686-9625
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Fax | 956-686-9675
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARITZA PENA
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Credential |
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Telephone | 956-686-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010777
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License Number State | TX
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