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General NPI Number Information
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NPI Number | 1285523332
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Entity Type | Organization
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Legal Business Name | SERENITY WELLNESS HOUSE CALLS
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 8247 NW SELVITZ RD UNIT 206
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-8287
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Country | US
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Telephone | 772-207-8396
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Fax | 772-667-5186
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Provider Business Mailing Address
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Address Line | 8247 NW SELVITZ RD UNIT 206
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-8287
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Country | US
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Telephone | 772-207-8396
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Fax | 772-667-5186
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Authorized Official
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Title or Position | APRN
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Name | NATASHA HALL
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Credential | FNP
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Telephone | 772-207-8396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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