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General NPI Number Information
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NPI Number | 1518937820
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Entity Type | Organization
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Legal Business Name | RENOWN SOUTH MEADOWS MEDICAL CENTER
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1495 MILL STREET
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City | RENO
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State | NV
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Zip | 89502-1449
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Country | US
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Telephone | 775-982-3500
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Fax | 775-982-9009
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # MCN-11
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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 | 775-982-7000
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Fax | 775-982-7089
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Authorized Official
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Title or Position | CFO ACUTE CARE
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Name | MR. BRETT MOORE
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Credential |
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Telephone | 775-982-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 657HOS-16
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License Number State | NV
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