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General NPI Number Information
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NPI Number | 1467282178
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Entity Type | Organization
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Legal Business Name | RIVER PLACE BY SERENITY, LLC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 6058 HIGHWAY 10 NW
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City | ANOKA
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State | MN
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Zip | 55303-4530
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Country | US
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Telephone | 763-421-5590
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Fax | 763-427-6876
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Provider Business Mailing Address
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Address Line | 6058 HIGHWAY 10 NW
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City | ANOKA
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State | MN
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Zip | 55303-4530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY HILL
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Credential |
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Telephone | 612-254-3070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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