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General NPI Number Information
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NPI Number | 1396620522
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Entity Type | Organization
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Legal Business Name | RENEWED TRANQUILITY PLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 4539 N 22ND ST # 4834
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 855-432-5551
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Fax | 855-432-5559
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Provider Business Mailing Address
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Address Line | 1805 N SCOTTSDALE RD STE 1
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City | TEMPE
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State | AZ
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Zip | 85288-1556
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Country | US
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Telephone | 855-432-5551
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Fax | 855-432-5559
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Authorized Official
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Title or Position | OWNER
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Name | JENNA ORTIZ
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Credential | PMHNP
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Telephone | 480-849-9518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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