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General NPI Number Information
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NPI Number | 1073394003
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Entity Type | Organization
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Legal Business Name | SERENITY VALLEY BEHAVIORAL WELLNESS, PLLC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 4309 N 10TH ST STE F2
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City | MCALLEN
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State | TX
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Zip | 78504-3059
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Country | US
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Telephone | 956-306-8703
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Fax | 325-222-0562
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Provider Business Mailing Address
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Address Line | 4309 N 10TH ST STE F2
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City | MCALLEN
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State | TX
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Zip | 78504-3059
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Country | US
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Telephone | 956-306-8703
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Fax | 325-222-0562
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Authorized Official
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Title or Position | PMHNP
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Name | DR. RITA MCCALLAN
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Credential | DNP
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Telephone | 956-306-8703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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