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General NPI Number Information
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NPI Number | 1689147274
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Entity Type | Organization
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Legal Business Name | RNT HEALTH VENTURES LLC
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 153 BROADWAY STE 1
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City | HAWTHORNE
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State | NY
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Zip | 10532
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Country | US
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Telephone | 914-747-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 153 BROADWAY STE 1
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City | HAWTHORNE
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State | NY
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Zip | 10532-1147
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Country | US
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Telephone | 914-747-9200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NOBLE THOMAS
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Credential | DC
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Telephone | 914-747-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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