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General NPI Number Information
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NPI Number | 1790338309
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Entity Type | Organization
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Legal Business Name | SERENITY CHIROPRACTIC AND WELLNESS, LLC
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 718 W ARAPAHO RD
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City | RICHARDSON
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State | TX
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Zip | 75080-4160
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Country | US
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Telephone | 972-836-8926
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Fax |
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Provider Business Mailing Address
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Address Line | 3213 BUCKHORN CT
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City | PLANO
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State | TX
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Zip | 75074-2817
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Country | US
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Telephone | 817-395-3623
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Fax |
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Authorized Official
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Title or Position | OWNER/ CHIROPRACTOR
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Name | DR. CARA ROSE CERRONE
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Credential | DC
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Telephone | 972-836-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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