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General NPI Number Information
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NPI Number | 1588817696
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Entity Type | Individual
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Provider Name | JOHN R RENTZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3100 KEMBLE AVE.
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City | BRUNSWICK
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State | GA
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Zip | 31520-4211
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Country | US
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Telephone | 880-233-2570
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 235019
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City | MONTGOMERY
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State | AL
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Zip | 36123-5019
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Country | US
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Telephone | 334-279-1450
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME132479
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 69943
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License Number State | GA
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