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General NPI Number Information
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NPI Number | 1306763156
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 11611 S FOOTHILLS BLVD STE B
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City | YUMA
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State | AZ
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Zip | 85367-5845
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Country | US
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Telephone | 928-488-2099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25119
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City | YUMA
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State | AZ
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Zip | 85367-1304
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Country | US
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Telephone | 928-488-2099
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LEORA CARTER
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Credential | APRN, FNP-C
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Telephone | 928-488-2099
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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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