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General NPI Number Information
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NPI Number | 1497354922
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Entity Type | Individual
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Provider Name | RODNEY RENCHER APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 2601 SCRIPTURE ST STE 102
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City | DENTON
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State | TX
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Zip | 76201-4322
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Country | US
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Telephone | 940-442-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 9557 N BEACH ST STE 121
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City | FORT WORTH
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State | TX
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Zip | 76244-6437
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Country | US
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Telephone | 817-741-5050
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Fax | 817-741-5059
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1017303
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License Number State | TX
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