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General NPI Number Information
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NPI Number | 1609428440
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Entity Type | Organization
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Legal Business Name | SERENITY PALLIATIVE CARE SERVICES
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 07/11/2019
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Provider Practice Location Address
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Address Line | 56 GEORGETOWN RD
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2405
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Country | US
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Telephone | 609-227-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BLVD OF THE AMERICAS SUITE 201
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-994-4324
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | AVROHOM MAIEROVITS
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Credential |
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Telephone | 732-994-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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