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General NPI Number Information
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NPI Number | 1568630879
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH CENTER PA
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 835 OAKLEY SEAVER DR
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City | CLERMONT
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State | FL
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Zip | 34711-1968
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Country | US
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Telephone | 352-241-9282
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Fax | 352-241-4282
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Provider Business Mailing Address
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Address Line | 835 OAKLEY SEAVER DR
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City | CLERMONT
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State | FL
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Zip | 34711-1968
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Country | US
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Telephone | 352-241-9282
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Fax | 352-241-4282
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Authorized Official
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Title or Position | OWNER
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Name | PRITHA RAJESHWORI DHUNGANA
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Credential | M.D.
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Telephone | 352-241-9282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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