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General NPI Number Information
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NPI Number | 1841590007
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Entity Type | Organization
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Legal Business Name | SERENITY HEALTHCARE INC.
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 105 PATTON WAY
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City | ELKTON
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State | MD
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Zip | 21921-5174
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Country | US
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Telephone | 866-861-3442
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Fax |
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Provider Business Mailing Address
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Address Line | 105 PATTON WAY
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City | ELKTON
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State | MD
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Zip | 21921-5174
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Country | US
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Telephone | 866-861-3442
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. JOSEPH DONALD BAXTER
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Credential | D.D.
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Telephone | 18668613442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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