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General NPI Number Information
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NPI Number | 1689834251
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Entity Type | Organization
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Legal Business Name | WRENETTE'S PLACE INC.
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 7029 SAN JUAN HILL CT
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City | RALEIGH
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State | NC
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Zip | 27610-6329
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Country | US
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Telephone | 919-779-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 7029 SAN JUAN HILL CT
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City | RALEIGH
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State | NC
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Zip | 27610-6329
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Country | US
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Telephone | 919-779-4456
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Fax |
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Authorized Official
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Title or Position | PART OWNER
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Name | MR. ADEBAYO T OLADOYE
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Credential |
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Telephone | 919-412-6024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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