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General NPI Number Information
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NPI Number | 1689564676
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Entity Type | Organization
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Legal Business Name | SERENITY OASIS LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 4306 HOLLAND PLAZA SHOPPING CTR # 2
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1194
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Country | US
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Telephone | 757-992-0780
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Fax |
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Provider Business Mailing Address
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Address Line | 210 POINTER CIR APT 3
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-6915
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Country | US
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Telephone | 757-991-2789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACIANN SHASHONNA MILLER
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Credential | LMT
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Telephone | 757-991-2789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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