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General NPI Number Information
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NPI Number | 1467242263
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Entity Type | Organization
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Legal Business Name | SERENITY GROUP LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | SERENITY GROUP LLC 148 LYNDE ST
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City | MELROSE
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State | MA
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Zip | 02176-0217
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Country | US
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Telephone | 617-371-7405
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Fax |
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Provider Business Mailing Address
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Address Line | SERENITY GROUP LLC 148 LYNDE ST
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City | MELROSE
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State | MA
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Zip | 02176
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Country | US
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Telephone | 617-371-7405
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Fax | 617-371-7405
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Authorized Official
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Title or Position | OWNWER
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Name | STEPHANIE OCTAVE
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Credential |
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Telephone | 617-371-7405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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