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General NPI Number Information
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NPI Number | 1598635989
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Entity Type | Organization
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Legal Business Name | SERAPHIS
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 63362 195TH ST
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City | PACIFIC JUNCTION
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State | IA
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Zip | 51561-4037
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Country | US
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Telephone | 717-302-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 63362 195TH ST
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City | PACIFIC JUNCTION
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State | IA
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Zip | 51561-4037
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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 | CEO
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Name | NINKPIBE KEZIA GNOFAM
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Credential |
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Telephone | 712-302-8075
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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 |
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