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General NPI Number Information
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NPI Number | 1821867482
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Entity Type | Organization
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Legal Business Name | SERENITY NONPROFIT
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 6048 S DURANGO DR STE 115
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City | LAS VEGAS
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State | NV
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Zip | 89113-1781
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Country | US
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Telephone | 702-815-1550
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Fax | 702-815-1554
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Provider Business Mailing Address
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Address Line | 9900 ROBIN OAKS DR
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City | LAS VEGAS
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State | NV
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Zip | 89117-0946
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Country | US
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Telephone | 702-630-0883
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. GABY (OR GABRIELA) CRUZ
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Credential | MS
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Telephone | 702-630-0883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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