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General NPI Number Information
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NPI Number | 1336098490
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Entity Type | Organization
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Legal Business Name | RENEW YOU AESTHETICS & WELLNESS
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 606 W. COMMERCE ST STE 1
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City | BRYANT
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State | AR
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Zip | 72022
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Country | US
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Telephone | 501-430-1329
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Fax |
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Provider Business Mailing Address
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Address Line | 606 W. COMMERCE ST STE 1
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City | BRYANT
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State | AR
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Zip | 72022
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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 | APRN, OWNER
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Name | LEANNE GLIDEWELL
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Credential | APRN, FNP-C
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Telephone | 501-430-1329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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