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General NPI Number Information
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NPI Number | 1063565711
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Entity Type | Organization
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Legal Business Name | RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1221 ABRAMS RD STE 232
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City | RICHARDSON
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State | TX
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Zip | 75081-5581
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Country | US
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Telephone | 972-234-2333
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Fax | 972-234-8964
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Provider Business Mailing Address
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Address Line | PO BOX 450091
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City | GARLAND
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State | TX
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Zip | 75045-0091
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Country | US
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Telephone | 972-234-2333
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Fax | 972-234-8964
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Authorized Official
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Title or Position | CEO
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Name | PAM ABERNETHY
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Credential | L.P.C.
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Telephone | 972-234-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11167
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15900
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SO4053
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18851
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License Number State | TX
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