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General NPI Number Information
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NPI Number | 1023211372
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Entity Type | Organization
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Legal Business Name | SERRANO FAMILY PRACTICE
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 475 HILL RD N
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City | PICKERINGTON
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State | OH
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Zip | 43147-1157
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Country | US
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Telephone | 614-833-5520
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Fax | 614-833-5525
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Provider Business Mailing Address
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Address Line | P.O. BOX 457
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City | PICKERINGTON
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State | OH
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Zip | 43147
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Country | US
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Telephone | 614-833-5520
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Fax | 614-833-5525
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LISA BURNS SERRANO
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Credential | M.D.
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Telephone | 614-833-5520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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