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General NPI Number Information
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NPI Number | 1356753107
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Entity Type | Organization
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Legal Business Name | RETNUH HEALTH LLC
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 450 W BROAD ST # 412 RETNUH HEALTH, LLC
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3340
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Country | US
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Telephone | 888-879-1856
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Fax |
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Provider Business Mailing Address
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Address Line | 450 W BROAD ST # 412 RETNUH HEALTH, LLC
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City | FALLS CHURCH
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State | VA
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Zip | 22046-3340
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Country | US
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Telephone | 888-879-1856
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, OWNER
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Name | TONYA BELETA HUNTER
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Credential | BSHA/LTC, MBA-HCM
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Telephone | 888-879-1856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 49D2067382
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0206009831
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License Number State | VA
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