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General NPI Number Information
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NPI Number | 1548555063
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTHCARE GROUP, INC
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 1130 W OLIVE AVE FIRST FLOOR
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City | BURBANK
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State | CA
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Zip | 91506-2214
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Country | US
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Telephone | 818-295-3800
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Fax | 818-295-3801
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Provider Business Mailing Address
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Address Line | 1130 W OLIVE AVE FIRST FLOOR
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City | BURBANK
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State | CA
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Zip | 91506-2214
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Country | US
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Telephone | 818-295-3800
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Fax | 818-295-3801
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PATRICIA ANN SILVA
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Credential | RN
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Telephone | 818-295-3800
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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 | CA
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