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General NPI Number Information
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NPI Number | 1740193291
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Entity Type | Organization
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Legal Business Name | RENEW YOU HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 15 SOUTHLAKE LN STE 130
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City | HOOVER
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State | AL
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Zip | 35244-3328
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Country | US
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Telephone | 205-774-8222
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Fax | 205-319-4899
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Provider Business Mailing Address
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Address Line | 15 SOUTHLAKE LN STE 130
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City | HOOVER
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State | AL
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Zip | 35244-3328
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Country | US
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Telephone | 205-774-8222
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Fax | 205-319-4899
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Authorized Official
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Title or Position | OWNER
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Name | SHAUNDA ELYSE KELLY
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Credential |
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Telephone | 205-514-7390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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