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General NPI Number Information
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NPI Number | 1386571347
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Entity Type | Organization
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Legal Business Name | SERAPH DARK PLLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2037 SHINING FEATHER LN
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City | LAS VEGAS
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State | NV
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Zip | 89134-2582
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Country | US
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Telephone | 725-900-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 732 S 6TH ST STE N
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City | LAS VEGAS
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State | NV
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Zip | 89101-6928
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Country | US
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Telephone | 725-900-0224
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | SERAPH DARK
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Credential | LCSW
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Telephone | 725-900-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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