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General NPI Number Information
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NPI Number | 1013721885
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Entity Type | Organization
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Legal Business Name | RENEWED PEACE LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 26300 CEDAR RD STE 1105
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City | BEACHWOOD
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State | OH
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Zip | 44122-1190
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Country | US
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Telephone | 216-284-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 26300 CEDAR RD STE 1105
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City | BEACHWOOD
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State | OH
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Zip | 44122-1190
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Country | US
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Telephone | 216-284-7317
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Fax |
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Authorized Official
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Title or Position | LICENSED INDEPENDENT SOCIAL WORKER
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Name | MRS. PRECIOUS REED
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Credential | LISW-S
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Telephone | 216-284-7317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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