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General NPI Number Information
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NPI Number | 1649729658
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Entity Type | Organization
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Legal Business Name | SERENE TRANSITIONAL HOSPICE
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 2470 WINDY HILL RD SE
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City | MARIETTA
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State | GA
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Zip | 30067-8613
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Country | US
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Telephone | 678-921-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 WINDY HILL RD SE
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City | MARIETTA
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State | GA
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Zip | 30067-8613
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Country | US
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Telephone | 678-921-1000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. VIHN TRAN
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Credential | NONE
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Telephone | 678-921-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 00073483
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License Number State | GA
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