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General NPI Number Information
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NPI Number | 1265231872
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Entity Type | Organization
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Legal Business Name | SERENITYMED SOLUTIONS LLC
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 4525 S SANDHILL RD STE 119
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City | LAS VEGAS
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State | NV
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Zip | 89121-5956
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Country | US
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Telephone | 725-550-8084
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Fax | 725-550-8084
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Provider Business Mailing Address
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Address Line | 4525 S SANDHILL RD STE 119
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City | LAS VEGAS
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State | NV
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Zip | 89121-5956
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Country | US
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Telephone | 725-550-8084
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Fax | 725-550-8084
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Authorized Official
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Title or Position | CEO
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Name | ANAY LINARES ANGEL
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Credential |
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Telephone | 725-550-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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