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General NPI Number Information
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NPI Number | 1598171886
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Entity Type | Organization
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Legal Business Name | RNLL CONSULTING LLC
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 5621 DELMAR BLVD 104B
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City | SAINT LOUIS
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State | MO
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Zip | 63112-2656
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Country | US
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Telephone | 800-479-8234
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Fax | 877-819-8247
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Provider Business Mailing Address
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Address Line | 7450 NATURAL BRIDGE RD 210516
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City | SAINT LOUIS
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State | MO
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Zip | 63121-8100
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Country | US
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Telephone | 800-479-8234
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Fax | 877-819-8247
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. NAAMAN L LAUDERDALE
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Credential | BA,MA,MDAAC,MRAS,
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Telephone | 800-479-8234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | L0712030150
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License Number State | CA
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