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General NPI Number Information
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NPI Number | 1609525799
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Entity Type | Organization
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Legal Business Name | SERENITY DOVES HOME CARE SERVICES
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 821 SUMMIT ST
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City | MCCOMB
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State | MS
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Zip | 39648-3151
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Country | US
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Telephone | 769-204-3699
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Fax | 601-600-2165
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Provider Business Mailing Address
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Address Line | PO BOX 1472
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City | MCCOMB
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State | MS
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Zip | 39649-1472
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Country | US
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Telephone | 769-204-3699
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Fax | 601-600-2165
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Authorized Official
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Title or Position | OWNER
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Name | SHERRY DENISE LEWIS
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Credential |
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Telephone | 769-204-3699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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