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NPI 1295959062

NPI 1295959062 : RENAISSANCE ORTHOPAEDICS P A : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1295959062
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENAISSANCE ORTHOPAEDICS P A 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    09/24/2008
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Provider Practice Location Address
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    Address Line         |    800 E DOVE AVE 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78504-2248
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    Country              |    US
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    Telephone            |    956-664-2600
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    Fax                  |    956-664-9141
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 2436 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78502-2436
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    Country              |    US
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    Telephone            |    956-664-2600
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    Fax                  |    956-664-9141
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Authorized Official
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    Title or Position    |    ORTHOPAEDIC SURGEON
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    Name                 |    DR. FRANCIS MICHAEL SWEENEY II
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    Credential           |    M.D.
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    Telephone            |    956-664-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    H3948
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    H3948
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    License Number State |    TX
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