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General NPI Number Information
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NPI Number | 1437956992
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Entity Type | Organization
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Legal Business Name | SERENITY MOBILE BLOOD SERVICES LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 705 GOLD LAKE DR STE 250
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City | FOLSOM
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State | CA
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Zip | 95630-2599
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Country | US
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Telephone | 916-226-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 705 GOLD LAKE DR STE 250
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City | FOLSOM
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State | CA
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Zip | 95630-2599
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Country | US
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Telephone | 916-226-1280
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | HAILEY BOLLIS
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Credential | CPT
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Telephone | 916-226-1280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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