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General NPI Number Information
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NPI Number | 1740554393
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTH CONSULTANTS, INC.
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 111 GILL ST
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City | ALCOA
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State | TN
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Zip | 37701-2672
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Country | US
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Telephone | 865-980-1722
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Fax | 865-980-3320
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Provider Business Mailing Address
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Address Line | 111 GILL ST
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City | ALCOA
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State | TN
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Zip | 37701-2672
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Country | US
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Telephone | 865-980-1722
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Fax | 865-980-3320
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Authorized Official
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Title or Position | NP
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Name | MRS. BUFFY KIRKLAND
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Credential |
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Telephone | 865-980-1722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 676930
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License Number State | TN
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