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General NPI Number Information
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NPI Number | 1619158037
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Entity Type | Organization
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Legal Business Name | RENIASANCE HEALTHCARE SERVICE
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7111 HARWIN DR SUITE NO 218
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City | HOUSTON
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State | TX
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Zip | 77036-2129
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Country | US
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Telephone | 832-785-2300
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Fax | 713-972-3800
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Provider Business Mailing Address
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Address Line | 7111 HARWIN DR SUITE NO 218
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City | HOUSTON
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State | TX
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Zip | 77036-2129
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Country | US
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Telephone | 832-785-2300
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Fax | 713-972-3800
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DON/CHUKWU O/L NDUKWE/KALU
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Credential |
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Telephone | 281-785-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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