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General NPI Number Information
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NPI Number | 1598493694
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Entity Type | Individual
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Provider Name | MEREDITH LEE SERBANICA DNP, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 676 HAMPTON DR
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-9422
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Country | US
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Telephone | 619-993-4049
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Fax | 619-326-3960
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Provider Business Mailing Address
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Address Line | 676 HAMPTON DR
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-9422
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Country | US
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Telephone | 619-993-4049
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Fax | 619-326-3960
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 28990
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024195271
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95021850
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License Number State | CA
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