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General NPI Number Information
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NPI Number | 1891614483
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Entity Type | Organization
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Legal Business Name | SERN CLINICAL RECOVERY CENTER INC.
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 4924 ERNESTO COPPEL CAMPANA CERRITOS RESORT
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City | MAZATLAN
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State | SINALOA
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Zip | 82112
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Country | MX
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 4924 ERNESTO COPPEL CAMPANA OCEANICA CERRITOS RESSORT
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City | MAZATLAN
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State | MAZATLAN
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Zip | 82112
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Country | MX
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL RESPONSIBLE
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Name | MS. ROCIO ELIZABETH DIAZ SANTANA
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Credential | MD
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Telephone | 619-947-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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