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General NPI Number Information
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NPI Number | 1760207187
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Entity Type | Organization
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Legal Business Name | RENDEVOR - IL POST ACUTE SERVICES LLC
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 330 MADISON ST STE L12
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City | JOLIET
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State | IL
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Zip | 60435-6569
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Country | US
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Telephone | 512-599-8022
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 W 6TH ST STE 350
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City | AUSTIN
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State | TX
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Zip | 78703-4870
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Country | US
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Telephone | 512-599-8022
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JASON COMBS
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Credential |
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Telephone | 512-599-8022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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