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General NPI Number Information
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NPI Number | 1326954975
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Entity Type | Organization
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Legal Business Name | RENOVA
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 33 MARKET ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-9100
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Country | US
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Telephone | 908-801-4085
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Fax | 732-851-1304
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Provider Business Mailing Address
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Address Line | 33 MARKET ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-9100
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Country | US
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Telephone | 908-801-4085
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Fax | 732-851-1304
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | VIJU VIJAYSADAN
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Credential | MD
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Telephone | 862-248-3067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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