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General NPI Number Information
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NPI Number | 1760377055
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Entity Type | Organization
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Legal Business Name | RENEWED HEALTH LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 3400 DESKIN DR
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City | NORMAN
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State | OK
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Zip | 73069-8295
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Country | US
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Telephone | 405-701-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 10 REMON LN
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3660
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Country | US
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Telephone | 732-904-4463
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. AARON S GELBWACHS
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Credential |
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Telephone | 732-904-4463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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