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General NPI Number Information
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NPI Number | 1750218657
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Entity Type | Individual
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Provider Name | MR. KYLE RENNELL
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Gender | Male
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 20 EXPEDITION TRL STE 203
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City | GETTYSBURG
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State | PA
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Zip | 17325-8599
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Country | US
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Telephone | 717-334-9535
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E CURTIN ST UNIT A
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City | BELLEFONTE
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State | PA
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Zip | 16823-1719
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Country | US
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Telephone |
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Fax |
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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 |
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License Number State |
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