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Individual
AMANDA RAINELLI
Active
Individual
AMANDA RAINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2661598
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2661598
STATE PROVIDER NUMBER
OH
Enumeration date
04/10/2012
Last updated
04/10/2012
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