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General NPI Number Information
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NPI Number | 1730742198
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Entity Type | Organization
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Legal Business Name | SERENITY OAKS, PLLC
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Dates
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Enumeration Date | 04/20/2019
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Last Update Date | 04/20/2019
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Provider Practice Location Address
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Address Line | 5368 FREDERICKSBURG RD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6108
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Country | US
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Telephone | 210-549-4333
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Fax | 210-549-4339
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Provider Business Mailing Address
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Address Line | 5368 FREDERICKSBURG RD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6108
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Country | US
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Telephone | 210-549-4333
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Fax | 210-549-4339
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAUL G MARTINEZ
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Credential | MD
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Telephone | 210-549-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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