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NPI 1104738707

NPI 1104738707 : RENEW MEDICAL GROUP TENNESSEE PC : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1104738707
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENEW MEDICAL GROUP TENNESSEE PC 
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Dates
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    Enumeration Date     |    09/18/2026
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    Last Update Date     |    09/18/2026
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Provider Practice Location Address
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    Address Line         |    2000 CHURCH ST 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37236-0002
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    Country              |    US
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    Telephone            |    615-284-5555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    700 E REDLANDS BLVD STE U302 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92373-6109
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DARIN L RENTZ 
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    Credential           |    DO
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    Telephone            |    720-984-7566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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