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General NPI Number Information
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NPI Number | 1912814146
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Entity Type | Organization
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Legal Business Name | RENOVANCE HEALTH WEIGHT MANAGEMENT AND OBESITY MEDICINE LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 525 ROUTE 73 N STE 117
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City | MARLTON
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State | NJ
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Zip | 08053-3422
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Country | US
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Telephone | 732-561-5685
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Fax |
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Provider Business Mailing Address
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Address Line | 66 APPLEGATE WAY
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City | CHESTERFIELD
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State | NJ
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Zip | 08515-9636
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VENKATA SHILPA REDDY KALLI
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Credential | MD
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Telephone | 732-561-5685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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