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General NPI Number Information
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NPI Number | 1154135549
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Entity Type | Organization
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Legal Business Name | RENEWED FAMILY HEALTH, LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 57 NORTHEASTERN BLVD STE 202
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City | NASHUA
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State | NH
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Zip | 03062-3154
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Country | US
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Telephone | 603-484-0735
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Fax | 888-440-3369
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Provider Business Mailing Address
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Address Line | 57 NORTHEASTERN BLVD STE 202
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City | NASHUA
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State | NH
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Zip | 03062-3154
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Country | US
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Telephone | 603-484-0735
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Fax | 888-440-3369
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Authorized Official
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Title or Position | OWNER
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Name | ALAINNA DRIEZE
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Credential | APRN
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Telephone | 603-484-0735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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