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General NPI Number Information
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NPI Number | 1972458909
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Entity Type | Organization
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Legal Business Name | ENERGY RENEWAL REVOLUTIONIZED UNLTD. LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 1039 WASHINGTON AVE
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City | BRONX
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State | NY
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Zip | 10456
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Country | US
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Telephone | 833-912-3998
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Fax | 929-644-6597
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Provider Business Mailing Address
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Address Line | 1039 WASHINGTON AVE
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City | BRONX
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State | NY
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Zip | 10456
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Country | US
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Telephone | 833-912-3998
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Fax | 929-644-6597
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Authorized Official
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Title or Position | PRINCIPAL INVESTIGATOR
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Name | MR. DAVID LAMAR HALL
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Credential |
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Telephone | 929-909-1468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246QL0901X
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Taxonomy Name | Diplomate Laboratory Management Specialist/Technologist
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License Number |
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License Number State |
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