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General NPI Number Information
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NPI Number | 1285129056
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Entity Type | Organization
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Legal Business Name | RENOWN MEDICAL SCHOOL ASSOCIATES NORTH, INC.
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1664 N VIRGINIA ST # 152
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City | RENO
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State | NV
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Zip | 89557-0001
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Country | US
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Telephone | 775-982-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # MSM14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5262
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Fax |
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Authorized Official
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Title or Position | CFO ACUTE CARE
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Name | MR. BRETT MOORE
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Credential |
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Telephone | 775-982-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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