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General NPI Number Information
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NPI Number | 1376900167
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Entity Type | Organization
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Legal Business Name | RENEW YOU HEALTH AND WELLNESS PC
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 54 COURT ST
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City | TAUNTON
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State | MA
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Zip | 02780-3201
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Country | US
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Telephone | 617-842-5683
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Fax | 877-708-9792
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Provider Business Mailing Address
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Address Line | 54 COURT ST
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City | TAUNTON
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State | MA
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Zip | 02780-3201
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Country | US
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Telephone | 617-842-5683
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Fax | 877-708-9792
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Authorized Official
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Title or Position | OWNER
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Name | JORGE VELIZ
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Credential | MD
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Telephone | 781-848-4277
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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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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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