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General NPI Number Information
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NPI Number | 1346132255
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Entity Type | Organization
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Legal Business Name | SERAPHIM MEDICAL LLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3202 TOWER OAKS BLVD STE 200
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 202-964-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 13004 SAINT GREGORY CT
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-2587
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Country | US
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Telephone |
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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 | TINILLE JENKINS
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Credential |
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Telephone | 202-964-3564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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