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NPI Code Detail

MEDICARE: REBECCA RENEA PENNINGTON

MEDICARE: REBECCA RENEA PENNINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1194676015
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RENEA PENNINGTON
Provider Business Mailing Address
First Line : 217 SENIOR LN
Second Line :
City : PARSONS
State : WV
Zip : 26287-1321
Country : US
Telephone Number : 304-478-2423
Fax Number : 304-478-2423
Provider Business Practice Location Address
First Line : 217 SENIOR LN
Second Line :
City : PARSONS
State : WV
Zip : 26287-1321
Country : US
Telephone Number : 304-478-2423
Fax Number : 304-478-2423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ REBECCA RENEA PENNINGTON ” Practice Location

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