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General NPI Number Information
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NPI Number | 1841107588
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Entity Type | Organization
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Legal Business Name | SERENITY OASIS
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 514 S OAK ST
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City | MT PLEASANT
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State | MI
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Zip | 48858-2422
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Country | US
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Telephone | 574-326-7334
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Fax |
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Provider Business Mailing Address
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Address Line | 814 W IONIA ST
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City | LANSING
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State | MI
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Zip | 48915-1849
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Country | US
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Telephone | 574-326-7334
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REBECCA NYINAWABEZA
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Credential |
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Telephone | 574-326-7334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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