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General NPI Number Information
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NPI Number | 1043124589
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Entity Type | Organization
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Legal Business Name | SERENEMINDS HEALTH CARE GROUP
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1275 W 47TH PL STE 306B
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City | HIALEAH
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State | FL
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Zip | 33012-3447
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Country | US
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Telephone | 305-363-3930
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Fax | 305-501-4777
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Provider Business Mailing Address
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Address Line | 1050 W 49TH ST UNIT 22448
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City | HIALEAH
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State | FL
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Zip | 33002-8825
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Country | US
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Telephone | 305-363-3930
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Fax | 305-501-4777
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Authorized Official
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Title or Position | MANAGER/PROVIDER
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Name | DIUSNAIDY DOMINGUEZ HERNANDEZ
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Credential | ARNP
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Telephone | 786-356-0179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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