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General NPI Number Information
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NPI Number | 1326852401
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Entity Type | Organization
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Legal Business Name | SERENDIPITOUS PATH, PLLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1515 E FLORENCE BLVD STE 101
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5334
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Country | US
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Telephone | 602-935-6299
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Fax |
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Provider Business Mailing Address
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Address Line | 37714 W SANTA BARBARA AVE
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City | MARICOPA
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State | AZ
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Zip | 85138-5414
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Country | US
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Telephone | 505-506-5171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE SKELTON
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Credential | LCSW
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Telephone | 505-506-5171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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