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General NPI Number Information
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NPI Number | 1013630201
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Entity Type | Organization
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Legal Business Name | RENEWED HEALTH, LLC
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1011 HIOAKS RD STE D
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City | RICHMOND
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State | VA
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Zip | 23225-4040
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Country | US
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Telephone | 804-905-6998
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Fax | 804-404-9149
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Provider Business Mailing Address
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Address Line | 1011 HIOAKS RD STE D
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City | RICHMOND
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State | VA
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Zip | 23225-4040
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Country | US
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Telephone | 804-905-6998
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Fax | 804-404-9149
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE COLE
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Credential |
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Telephone | 804-503-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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