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General NPI Number Information
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NPI Number | 1881571560
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Entity Type | Organization
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Legal Business Name | SERENE CHALET LLC
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 2209 VICTORIA LN
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City | RICHARDSON
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State | TX
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Zip | 75082-4719
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Country | US
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Telephone | 972-806-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 22467
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 972-806-2241
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | COLUMBIA JENEINE MITCHELL
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Credential | RN
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Telephone | 214-718-5683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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