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General NPI Number Information
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NPI Number | 1073865804
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Entity Type | Individual
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Provider Name | SERENA WARF PA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2012
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 632 DEL PRADO BLVD N
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City | CAPE CORAL
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State | FL
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Zip | 33909-2278
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Country | US
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Telephone | 239-343-3800
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Fax | 239-343-3993
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Provider Business Mailing Address
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Address Line | 2003 KOOTENAI HEALTH WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone | 86-255-0842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PAT9106751
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106751
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-2726
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License Number State | ID
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