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General NPI Number Information
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NPI Number | 1891643029
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Entity Type | Organization
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Legal Business Name | REVENITY MEDICAL BILLING LLC
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 21735 N 91ST DR
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City | PEORIA
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State | AZ
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Zip | 85382-8343
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Country | US
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Telephone | 305-772-6919
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Fax |
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST STE N
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 305-772-6919
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Fax |
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Authorized Official
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Title or Position | CRO
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Name | APRIL IRENE BRUCE
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Credential | B.S., R.T.(R)(ARRT)
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Telephone | 305-772-6919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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