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General NPI Number Information
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NPI Number | 1154137685
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH SS LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 24726 ARGUS DR
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4612
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Country | US
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Telephone | 949-581-1039
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Fax |
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Provider Business Mailing Address
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Address Line | 192 CRESCENT MOON
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City | IRVINE
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State | CA
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Zip | 92602-1813
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Country | US
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Telephone | 909-631-9590
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Fax |
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Authorized Official
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Title or Position | LLC MEMBER
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Name | PARDEEP SHARMA
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Credential |
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Telephone | 909-631-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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