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General NPI Number Information
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NPI Number | 1336089143
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Entity Type | Organization
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Legal Business Name | RENEVA HEALTH & COMMUNITY SERVICES
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 866 THOMPSON CRES
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City | ROCKVILLE
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State | MD
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Zip | 20852-5676
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Country | US
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Telephone | 404-536-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 866 THOMPSON CRES
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City | ROCKVILLE
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State | MD
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Zip | 20852-5676
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Country | US
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Telephone | 404-536-7676
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TINA NOWRANGI
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Credential |
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Telephone | 301-919-7619
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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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