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General NPI Number Information
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NPI Number | 1871805069
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Entity Type | Organization
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Legal Business Name | RENNES NURSING & REHAB
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Dates
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Enumeration Date | 07/05/2010
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Last Update Date | 07/05/2010
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Provider Practice Location Address
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Address Line | 261 FRENCH ST
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City | PESHTIGO
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State | WI
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Zip | 54157-1217
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Country | US
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Telephone | 888-214-1942
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Fax |
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Provider Business Mailing Address
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Address Line | 261 FRENCH ST
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City | PESHTIGO
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State | WI
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Zip | 54157-1217
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Country | US
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Telephone | 888-214-1942
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Fax |
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Authorized Official
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Title or Position | COTA
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Name | MS. ELLEN KATHERINE LEMAY
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Credential | COTA
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Telephone | 920-632-7815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 987-27
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License Number State | WI
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