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General NPI Number Information
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NPI Number | 1598497364
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Entity Type | Organization
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Legal Business Name | SERENITY INVESTMENT, LLC
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 1123 N ALEXANDRIA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1407
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Country | US
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Telephone | 818-602-1622
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Fax |
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Provider Business Mailing Address
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Address Line | 550 E DEVON AVE STE 110
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City | ITASCA
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State | IL
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Zip | 60143-2637
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Country | US
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Telephone | 323-928-2568
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SANDY ROSILES
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Credential |
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Telephone | 323-928-2568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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