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General NPI Number Information
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NPI Number | 1255654372
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Entity Type | Organization
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Legal Business Name | SERENITY STAFFING, INC
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 1728 WHITE FALLS DR
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City | DESOTO
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State | TX
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Zip | 75115-7850
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Country | US
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Telephone | 214-624-8156
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Fax | 972-217-3171
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Provider Business Mailing Address
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Address Line | 2420 EAST I35 S. BECKLEY AVE SUITE 103A
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City | LANCASTER
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State | TX
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Zip | 75134
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Country | US
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Telephone | 214-624-8156
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Fax | 972-217-3171
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ICE J THOMAS
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Credential |
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Telephone | 214-624-8156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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