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General NPI Number Information
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NPI Number | 1265723761
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Entity Type | Organization
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Legal Business Name | SERENITY CARE LLC.
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 124 WIND CHIME CT
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City | RALEIGH
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State | NC
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Zip | 27615-6433
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Country | US
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Telephone | 919-302-2008
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Fax | 919-573-0366
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Provider Business Mailing Address
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Address Line | 124 WIND CHIME CT
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City | RALEIGH
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State | NC
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Zip | 27615-6433
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Country | US
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Telephone | 919-302-2008
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Fax | 919-573-0366
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DEBRA M ARRINGTON
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Credential | RN
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Telephone | 919-302-2008
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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 | HC3939
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License Number State | NC
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