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General NPI Number Information
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NPI Number | 1144482589
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Entity Type | Organization
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Legal Business Name | SERENITY HOME SERVICES INC.
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 700 DEBORAH RD STE 120
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City | NEWBERG
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State | OR
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Zip | 97132-2198
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Country | US
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Telephone | 503-538-9505
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Fax | 503-554-0964
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Provider Business Mailing Address
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Address Line | 700 DEBORAH RD STE 120
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City | NEWBERG
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State | OR
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Zip | 97132-2198
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Country | US
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Telephone | 503-538-9505
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Fax | 503-554-0964
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY M CHAMBERS
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Credential |
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Telephone | 503-538-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 15-2123
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License Number State | OR
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