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General NPI Number Information
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NPI Number | 1063380723
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Entity Type | Organization
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Legal Business Name | RENEW WELLNESS & BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 8392 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27615-3061
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Country | US
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Telephone | 984-308-3678
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Fax |
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Provider Business Mailing Address
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Address Line | 5305 THORNROSE HILL DR
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City | RALEIGH
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State | NC
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Zip | 27616-9003
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Country | US
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Telephone | 984-308-3678
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | UMI-AISHA THOMAS
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Credential | NP
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Telephone | 626-488-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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