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General NPI Number Information
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NPI Number | 1386561538
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Entity Type | Organization
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Legal Business Name | FRANCISCAN HEALTH RENSSELAER, INC.
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 118 W DREXEL PKWY
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City | RENSSELAER
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State | IN
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Zip | 47978-7344
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Country | US
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Telephone | 219-866-4300
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Fax | 219-866-7591
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Provider Business Mailing Address
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Address Line | PO BOX 771923
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City | DETROIT
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State | MI
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Zip | 48278-1923
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-1479
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | TERRENCE E WILSON
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Credential |
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Telephone | 765-502-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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