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General NPI Number Information
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NPI Number | 1245194273
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Entity Type | Organization
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Legal Business Name | SERENITY SPRINGS LLC
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Dates
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Enumeration Date | 12/13/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 6017 E RICHARDS DR
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City | SHAWNEE
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State | KS
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Zip | 66216-1777
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Country | US
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Telephone | 913-636-8827
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Fax | 913-232-9806
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Provider Business Mailing Address
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Address Line | 6017 E RICHARDS DR
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City | SHAWNEE
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State | KS
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Zip | 66216-1777
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Country | US
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Telephone | 913-636-8827
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Fax | 913-232-9806
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Authorized Official
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Title or Position | OPERATOR
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Name | TABBY NDANU TUITOEK
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Credential | APRN
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Telephone | 913-636-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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