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General NPI Number Information
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NPI Number | 1235040460
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Entity Type | Organization
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Legal Business Name | RENEGADE THERAPEUTICS PA
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 2901 CLINT MOORE RD
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 954-870-0475
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 CLINT MOORE RD 2-1001
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 954-870-0475
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. ANDREA CUVA
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Credential | PH.D., LMFT
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Telephone | 954-870-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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