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General NPI Number Information
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NPI Number | 1124922570
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Entity Type | Organization
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Legal Business Name | RENOVO THERAPY PLLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 190 E 9TH AVE STE 552
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City | DENVER
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State | CO
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Zip | 80203-2744
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Country | US
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Telephone | 720-608-1197
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Fax |
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Provider Business Mailing Address
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Address Line | 2125 W 32ND AVE
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City | DENVER
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State | CO
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Zip | 80211-3458
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Country | US
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Telephone | 720-608-1197
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | REBECCA ANN ROTTINGER
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Credential | LCSW
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Telephone | 720-608-1197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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