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General NPI Number Information
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NPI Number | 1851206106
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Entity Type | Organization
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Legal Business Name | SERENITY WEIGHT LOSS & WELLNESS CLINIC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 310 BYRAM PL STE A
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City | BYRAM
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State | MS
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Zip | 39272-8735
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Country | US
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Telephone | 601-559-3266
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Fax | 601-981-9958
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Provider Business Mailing Address
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Address Line | 310 BYRAM PL STE A
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City | BYRAM
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State | MS
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Zip | 39272-8735
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Country | US
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Telephone | 601-559-3266
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Fax | 601-981-9958
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. SHAUNDA FREEMAN
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Credential | FNP-BC
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Telephone | 601-559-3266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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