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General NPI Number Information
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NPI Number | 1205353752
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Entity Type | Organization
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Legal Business Name | SERENITY TRANSPORTS
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 820 GREENBRIER CIR STE 24
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2646
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Country | US
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Telephone | 757-582-3201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6185
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City | CHESAPEAKE
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State | VA
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Zip | 23323-0185
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Country | US
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Telephone | 757-892-0757
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CORIE BROWN
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Credential |
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Telephone | 757-892-0757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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