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General NPI Number Information
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NPI Number | 1780388033
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Entity Type | Organization
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Legal Business Name | SERENITY PUMPS LLC
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1101 GULF BREEZE PKWY STE 352
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City | GULF BREEZE
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State | FL
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Zip | 32561-4862
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Country | US
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Telephone | 719-967-9500
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Fax | 855-933-1188
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Provider Business Mailing Address
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Address Line | PO BOX 236
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City | LARKSPUR
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State | CO
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Zip | 80118-0236
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Country | US
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Telephone | 719-967-9500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN FOSTER
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Credential |
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Telephone | 719-967-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247000000X
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Taxonomy Name | Health Information Technician
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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