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General NPI Number Information
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NPI Number | 1306525217
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Entity Type | Organization
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Legal Business Name | RENEWED AND EMPOWERED PLLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 120 E FM 544 STE 72-274
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City | MURPHY
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State | TX
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Zip | 75094-4034
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Country | US
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Telephone | 945-386-9605
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E FM 544 STE 72-274
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City | MURPHY
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State | TX
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Zip | 75094-4034
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Country | US
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Telephone | 945-386-9605
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | VI BUI
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Credential | LCSW-S
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Telephone | 945-386-9605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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