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General NPI Number Information
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NPI Number | 1174226567
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Entity Type | Organization
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Legal Business Name | RENEW U
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 8740 HONEY VINE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89143-5133
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Country | US
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Telephone | 702-624-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 8740 HONEY VINE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89143-5133
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Country | US
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Telephone | 702-624-0071
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Fax |
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Authorized Official
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Title or Position | INVESTOR
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Name | MICHAEL T WILSON
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Credential |
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Telephone | 702-624-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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