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General NPI Number Information
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NPI Number | 1518875061
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Entity Type | Organization
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Legal Business Name | RENAISSANCE PM&R SPECIALISTS LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 2260 VISTA RD
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City | FORT MILL
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State | SC
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Zip | 29708-7800
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Country | US
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Telephone | 802-735-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 885 GOLD HILL RD
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City | FORT MILL
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State | SC
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Zip | 29708-7946
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DO/OWNER
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Name | KEVIN ESTES
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Credential | DO
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Telephone | 203-829-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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