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General NPI Number Information
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NPI Number | 1700707205
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Entity Type | Organization
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Legal Business Name | SERYNACARE LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1173 S BEACH CIR
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City | KISSIMMEE
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State | FL
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Zip | 34746-6744
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Country | US
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Telephone | 689-252-2515
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Fax |
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Provider Business Mailing Address
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Address Line | 1173 S BEACH CIR
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City | KISSIMMEE
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State | FL
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Zip | 34746-6744
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Country | US
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Telephone | 689-252-2515
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS SHEMARIAH M THOMPSON
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Credential |
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Telephone | 689-252-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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