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General NPI Number Information
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NPI Number | 1720227671
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Entity Type | Organization
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Legal Business Name | SERENE RIVER LLC
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 02/17/2009
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Provider Practice Location Address
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Address Line | 3421 W BUSINESS HIGHWAY 83 STE 7
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City | MCALLEN
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State | TX
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Zip | 78501-8213
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Country | US
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Telephone | 956-994-9707
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Fax | 956-994-9717
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Provider Business Mailing Address
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Address Line | 3421 W BUSINESS HIGHWAY 83 STE 7
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City | MCALLEN
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State | TX
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Zip | 78501-8213
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Country | US
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Telephone | 956-994-9707
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Fax | 956-994-9717
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. RICARDO TOVAR
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Credential | R.N.
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Telephone | 956-279-1329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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