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General NPI Number Information
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NPI Number | 1982564332
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Entity Type | Organization
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Legal Business Name | RENTAS ADVANCE MEDICAL, LLC.
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 627 CAPE CORAL PKWY W STE 209V
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City | CAPE CORAL
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State | FL
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Zip | 33914-6748
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Country | US
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Telephone | 239-565-7578
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100192
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City | CAPE CORAL
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State | FL
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Zip | 33910-0192
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Country | US
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Telephone | 239-565-7578
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Fax | 941-621-0257
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | RALPH COTTEN
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Credential |
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Telephone | 239-565-7578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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