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General NPI Number Information
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NPI Number | 1417867433
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Entity Type | Organization
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Legal Business Name | RENEW PATH RECOVERY LLC.
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 25538 MAIER CIR
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City | MENIFEE
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State | CA
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Zip | 92585-8881
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Country | US
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Telephone | 818-918-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 CANOGA AVE STE 1320
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-8008
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Country | US
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Telephone | 818-918-5511
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Fax | 323-417-4789
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Authorized Official
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Title or Position | CEO
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Name | DANA JONES
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Credential |
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Telephone | 310-926-6318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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