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General NPI Number Information
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NPI Number | 1225957699
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Entity Type | Organization
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Legal Business Name | RENEWED HORIZONS
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 6080 CENTER DR STE 631
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City | LOS ANGELES
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State | CA
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Zip | 90045-9209
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Country | US
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Telephone | 322-519-8691
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Fax |
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Provider Business Mailing Address
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Address Line | 10982 MARYGOLD WAY
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City | CORONA
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State | CA
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Zip | 92883-3113
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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 | DIRECTOR
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Name | VERALYN KAMARA
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Credential |
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Telephone | 323-519-8691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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