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General NPI Number Information
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NPI Number | 1831520956
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Entity Type | Organization
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Legal Business Name | SERENITY 7 CORPORATION INC.
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Dates
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Enumeration Date | 11/30/2013
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 70 PERIMETER CTR E 1409
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City | ATLANTA
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State | GA
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Zip | 30346-1801
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Country | US
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Telephone | 678-310-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 1185 HIGHTOWER TRL SUITE 500571
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City | ATLANTA
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State | GA
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Zip | 31150-3132
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Country | US
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Telephone | 678-310-2742
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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. TAVORICE SMITH
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Credential |
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Telephone | 678-310-2742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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