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NPI 1902621097

NPI 1902621097 : SERENITY HOSPICE CARE, LLC : BORDENTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1902621097
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    Entity Type          |    Organization 
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    Legal Business Name  |    SERENITY HOSPICE CARE, LLC 
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Dates
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    Enumeration Date     |    11/22/2024
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    Last Update Date     |    11/22/2024
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Provider Practice Location Address
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    Address Line         |    56 GEORGETOWN RD 
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    City                 |    BORDENTOWN
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    State                |    NJ
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    Zip                  |    08505-2405
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    Country              |    US
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    Telephone            |    609-227-2400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    56 GEORGETOWN RD 
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    City                 |    BORDENTOWN
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    State                |    NJ
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    Zip                  |    08505-2405
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    Country              |    US
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    Telephone            |    609-227-2400
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     AVROHOM  MAIEROVITS 
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    Credential           |    
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    Telephone            |    732-994-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207PH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Emergency Medicine) Physician
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    License Number       |    
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    License Number State |    
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