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General NPI Number Information
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NPI Number | 1558852442
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Entity Type | Organization
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Legal Business Name | RENAISSANCE COMFORT CARE INC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 1600 GARRETT RD
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City | UPPER DARBY
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State | PA
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Zip | 19082-4472
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Country | US
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Telephone | 973-517-5359
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Fax | 856-504-0200
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Provider Business Mailing Address
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Address Line | 705 RENAISSANCE DR
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-6331
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Country | US
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Telephone | 732-241-8295
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Fax | 856-504-0200
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MUYIWA OKURIBIDO
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Credential |
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Telephone | 732-241-8295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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