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General NPI Number Information
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NPI Number | 1710835988
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Entity Type | Organization
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Legal Business Name | SERAPHIC WELLNESS CENTER, INCORPORATION
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 4010 TRUXEL RD STE 170
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City | SACRAMENTO
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State | CA
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Zip | 95834-3795
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Country | US
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Telephone | 916-272-9195
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Fax |
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Provider Business Mailing Address
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Address Line | 5006 BRIMLEY WAY
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City | SACRAMENTO
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State | CA
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Zip | 95835-1616
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Country | US
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Telephone | 916-272-9195
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Fax | 916-251-0412
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TINUKE SHADE OLALERE
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Credential | PMHNP-BC
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Telephone | 916-272-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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