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General NPI Number Information
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NPI Number | 1619344629
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Entity Type | Organization
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Legal Business Name | SERENE TREATMENT, INC.
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 1860 OLD OKEECHOBEE RD SUITE # 508
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5253
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Country | US
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Telephone | 561-478-2235
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Fax | 561-508-3354
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Provider Business Mailing Address
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Address Line | 1860 OLD OKEECHOBEE RD SUITE # 402
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5253
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Country | US
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Telephone | 561-478-2235
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Fax | 561-508-3354
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Authorized Official
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Title or Position | MANAGER
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Name | NICHOLAS CIRIO
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Credential |
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Telephone | 561-478-2235
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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 | 1550AD722901
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License Number State | FL
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