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General NPI Number Information
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NPI Number | 1669326476
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Entity Type | Organization
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Legal Business Name | SI-RENE LLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 505 W OWNSBY PKWY APT 4110
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City | CELINA
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State | TX
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Zip | 75009-3625
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Country | US
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Telephone | 430-280-1162
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Fax |
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Provider Business Mailing Address
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Address Line | 505 W OWNSBY PKWY APT 4110
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City | CELINA
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State | TX
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Zip | 75009-3625
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Country | US
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Telephone | 430-280-1162
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHANCELIER AYEMELE MAKENG
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Credential |
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Telephone | 430-280-1162
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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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