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General NPI Number Information
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NPI Number | 1205213832
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Entity Type | Organization
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Legal Business Name | SERENE SERVICES INC
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 1144 N 4TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1503
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Country | US
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Telephone | 267-349-5316
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Fax | 888-678-2884
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Provider Business Mailing Address
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Address Line | 1045 N LEITHGOW ST
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City | PHILADELPHIA
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State | PA
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Zip | 19123-1420
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Country | US
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Telephone | 267-349-5316
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Fax | 888-678-2884
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARICARMEN CARMONA
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Credential |
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Telephone | 267-349-5316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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