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General NPI Number Information
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NPI Number | 1275449308
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Entity Type | Organization
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Legal Business Name | SERENITY OSTEOPATHIC, LLC
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 10 COCONUT RD
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-5331
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Country | US
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Telephone | 678-698-9217
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Fax |
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Provider Business Mailing Address
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Address Line | 10 COCONUT RD
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City | INDIAN HARBOUR BEACH
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State | FL
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Zip | 32937-5331
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Country | US
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Telephone | 678-698-9217
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. TIFFANY R NOBLITT
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Credential | DO
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Telephone | 678-698-9217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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