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General NPI Number Information
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NPI Number | 1366479529
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Entity Type | Individual
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Provider Name | MARCIA MARIE RENTZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 3333 CATTLEMEN RD STE 100
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City | SARASOTA
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State | FL
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Zip | 34232-6057
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Country | US
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Telephone | 941-724-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 23410 JENNINGS RD
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City | MYAKKA CITY
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State | FL
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Zip | 34251-7202
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Country | US
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Telephone | 941-724-7000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 64925
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License Number State | FL
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