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General NPI Number Information
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NPI Number | 1619537230
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Entity Type | Organization
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Legal Business Name | SERENITY SOLUTIONS INC
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1705 19TH PL STE H3
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City | VERO BEACH
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State | FL
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Zip | 32960-0687
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Country | US
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Telephone | 772-985-6754
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 19TH PL STE H3
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City | VERO BEACH
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State | FL
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Zip | 32960-0687
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Country | US
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Telephone | 772-985-6754
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/LMT
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Name | PATRICE ELIZABETH BOWES
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Credential | LMT
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Telephone | 772-985-6754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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