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General NPI Number Information
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NPI Number | 1396080123
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Entity Type | Organization
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Legal Business Name | RENEW CONSULTING, INC.
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 7161 NW RAMONA LN
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City | CORVALLIS
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State | OR
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Zip | 97330-9165
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Country | US
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Telephone | 503-851-8219
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Fax | 541-981-2127
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Provider Business Mailing Address
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Address Line | 808 OLD SALEM RD NE
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City | ALBANY
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State | OR
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Zip | 97321-4539
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Country | US
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Telephone | 503-851-8219
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Fax | 541-981-2127
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHY R ARONSON
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Credential |
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Telephone | 503-851-8219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | 200018
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License Number State | OR
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