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General NPI Number Information
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NPI Number | 1811658289
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Entity Type | Organization
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Legal Business Name | RENUE U MEDSPA PC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 5390 N ACADEMY BLVD STE 150
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-4064
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Country | US
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Telephone | 303-741-0990
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Fax | 303-741-0990
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Provider Business Mailing Address
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Address Line | 6825 S GALENA ST STE 200
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City | CENTENNIAL
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State | CO
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Zip | 80112-3630
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Country | US
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Telephone | 720-741-0990
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Fax | 303-741-0991
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | FRANCISCA RAYOS
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Credential |
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Telephone | 303-741-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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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 | 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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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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