# H&H BSQ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renewed Vitality
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336765080
- **Authorized official:** REBECCA MCCLURE NP-C (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (484) 516-2937

## Contact information

- **Practice address:** 560 VAN REED RD STE 101, WYOMISSING, PA 19610-1799
- **Practice address phone:** (484) 516-2937
- **Practice address fax:** (484) 930-0229
- **Mailing address:** 560 VAN REED RD STE 101, WYOMISSING, PA 19610-1799
- **Mailing address phone:** (484) 516-2937
- **Mailing address fax:** (484) 930-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/18/2020
- **Last updated:** 07/27/2023
