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General NPI Number Information
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NPI Number | 1346139482
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Entity Type | Organization
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Legal Business Name | SERENIUM THERAPY AND WELLNESS
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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 | 100 CRAIG RD STE 220
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City | MANALAPAN
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State | NJ
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Zip | 07726-8731
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Country | US
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Telephone | 732-913-0033
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Fax | 732-913-0044
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Provider Business Mailing Address
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Address Line | 100 CRAIG RD STE 220
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City | MANALAPAN
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State | NJ
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Zip | 07726-8731
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Country | US
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Telephone | 732-913-0033
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Fax |
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Authorized Official
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Title or Position | LEAD FRONT DESK ASSOCIATE
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Name | KIARA RODRIGUEZ
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Credential |
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Telephone | 732-532-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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