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General NPI Number Information
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NPI Number | 1710835848
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Entity Type | Organization
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Legal Business Name | SERENITY LIGHT OF TEXAS LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 1820 COUNTY ROAD 36
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City | ANGLETON
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State | TX
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Zip | 77515-8727
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Country | US
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Telephone | 866-303-6275
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Fax | 530-430-3067
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Provider Business Mailing Address
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Address Line | 9985 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95827-1405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | LIEN HOANG
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Credential |
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Telephone | 702-205-8232
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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 |
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License Number State |
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