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General NPI Number Information
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NPI Number | 1851094262
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Entity Type | Organization
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Legal Business Name | SERENITY WELLNESS GROUP, INC.
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 2306 BOULEVARD STE B
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2320
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Country | US
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Telephone | 804-243-6800
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Fax | 804-203-4980
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Provider Business Mailing Address
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Address Line | 205 TEMPLE AVE
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2827
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Country | US
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Telephone | 804-243-5800
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Fax | 804-503-4980
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Authorized Official
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Title or Position | CEO
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Name | QAADIRA WARITH-MUHAMMAD
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Credential |
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Telephone | 804-243-6800
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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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