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General NPI Number Information
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NPI Number | 1154937076
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Entity Type | Individual
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Provider Name | INES P SERNA MS, CCCE,CD(DONA)
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 505 48TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-1631
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Country | US
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Telephone | 201-201-7012
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Fax |
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Provider Business Mailing Address
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Address Line | 505 48TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-1631
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Country | US
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Telephone | 201-201-7012
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 10-201428
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 10-201428
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 13701
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License Number State | NJ
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