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General NPI Number Information
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NPI Number | 1447140736
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Entity Type | Organization
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Legal Business Name | RENOWN REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 10105 DOUBLE R BLVD
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City | RENO
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State | NV
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Zip | 89521-5931
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Country | US
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Telephone | 775-982-5364
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Fax | 775-982-2616
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # D9
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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 | 775-982-5364
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Fax | 775-982-2616
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Authorized Official
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Title or Position | VP PHARMACY SERVICES
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Name | ADAM DAVID PORATH
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Credential | PHARMD
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Telephone | 775-982-6838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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