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General NPI Number Information
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NPI Number | 1730946401
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Entity Type | Organization
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Legal Business Name | SERENE MENTAL HEALTH CLINIC LLC
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 3615 2ND AVE STE A
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City | KEARNEY
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State | NE
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Zip | 68847-8115
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Country | US
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Telephone | 308-233-3847
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Fax | 308-233-5921
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Provider Business Mailing Address
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Address Line | 3615 2ND AVE STE A
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City | KEARNEY
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State | NE
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Zip | 68847-8115
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Country | US
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Telephone | 308-233-3847
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Fax | 308-233-5921
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Authorized Official
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Title or Position | OWNER
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Name | SARAH GIERHAN
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Credential | APRN
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Telephone | 308-233-3847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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