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General NPI Number Information
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NPI Number | 1174486955
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Entity Type | Organization
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Legal Business Name | RENEWCARE LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 5650 W CENTRAL AVE STE D7
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City | TOLEDO
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State | OH
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Zip | 43615-1526
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Country | US
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Telephone | 419-349-7532
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 HARROW RD
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City | TOLEDO
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State | OH
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Zip | 43615-4540
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Country | US
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Telephone | 419-360-9577
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SASHA CLAYBORNE
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Credential |
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Telephone | 419-360-9577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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