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NPI 1376490649

NPI 1376490649 : SWEET SERENITY ADVOCACY LLC : EL MIRAGE, AZ

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General NPI Number Information
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    NPI Number           |    1376490649
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    Entity Type          |    Organization 
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    Legal Business Name  |    SWEET SERENITY ADVOCACY LLC 
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Dates
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    Enumeration Date     |    03/14/2026
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    Last Update Date     |    03/14/2026
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Provider Practice Location Address
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    Address Line         |    12945 W GREENWAY RD APT E103 
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    City                 |    EL MIRAGE
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    State                |    AZ
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    Zip                  |    85335-2612
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    Country              |    US
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    Telephone            |    480-250-7349
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12945 W GREENWAY RD APT E103 
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    City                 |    EL MIRAGE
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    State                |    AZ
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    Zip                  |    85335-2612
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    Country              |    US
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    Telephone            |    480-250-7349
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER/OWNER
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    Name                 |     JAYSHA  SMITH 
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    Credential           |    LPN
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    Telephone            |    480-250-7349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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