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General NPI Number Information
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NPI Number | 1366398273
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Entity Type | Individual
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Provider Name | SERENA KAY JULIAN
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Gender | Female
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 100 N 1ST ST
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City | CLARKSBURG
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State | WV
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Zip | 26301-2714
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Country | US
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Telephone | 304-624-3641
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W WOODLAND AVE
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City | CLARKSBURG
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State | WV
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Zip | 26301-4037
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Country | US
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Telephone | 304-629-4320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | WV
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