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General NPI Number Information
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NPI Number | 1194404921
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Entity Type | Organization
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Legal Business Name | SERENE CARE MANAGEMENT
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 310 23RD ST STE 2
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City | WATERVLIET
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State | NY
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Zip | 12189-2126
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Country | US
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Telephone | 518-364-3050
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Fax | 838-500-7993
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Provider Business Mailing Address
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Address Line | 310 23RD ST STE 2
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City | WATERVLIET
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State | NY
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Zip | 12189-2126
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Country | US
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Telephone | 518-364-3050
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Fax | 838-500-7993
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Authorized Official
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Title or Position | BOARD OF DIRECTOR
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Name | MS. PEGGY ANIM
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Credential |
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Telephone | 518-364-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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