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General NPI Number Information
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NPI Number | 1720944945
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Entity Type | Organization
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Legal Business Name | SERENUS HEALTH NP IN PSYCHIATRY AND RN PLLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 550 W 54TH ST APT 931
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City | NEW YORK
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State | NY
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Zip | 10019-6494
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Country | US
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Telephone | 203-299-6084
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Fax |
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Provider Business Mailing Address
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Address Line | 7525 AUTUMN WAY
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-2722
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Country | US
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Telephone | 203-299-6084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IAN WEST
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Credential | PMHNP
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Telephone | 203-299-6084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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