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General NPI Number Information
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NPI Number | 1700862208
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Entity Type | Individual
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Provider Name | CAROL A RENNINGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2 STONE HARBOR BLVD
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-2138
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Country | US
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Telephone | 609-463-2183
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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Fax | 732-790-0107
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MP000749
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C01976
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA002636L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C50000214
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00074900
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License Number State | NJ
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