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General NPI Number Information
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NPI Number | 1497627467
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Entity Type | Organization
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Legal Business Name | TELOS HEALTH SYSTEMS NJ LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 980 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3315
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Country | US
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Telephone | 201-217-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 980 SYLVAN AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3315
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Country | US
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Telephone | 201-217-6777
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MICHAEL ALBERT RENZI
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Credential | DO
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Telephone | 201-217-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family 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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 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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Taxonomy #4
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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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