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General NPI Number Information
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NPI Number | 1912630609
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Entity Type | Organization
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Legal Business Name | SERENE EVOLUTION INC
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 11806 WILCREST DR STE 222
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City | HOUSTON
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State | TX
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Zip | 77031-1906
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Country | US
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Telephone | 281-499-0505
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Fax | 713-490-3440
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Provider Business Mailing Address
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Address Line | 11806 WILCREST DR STE 222
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City | HOUSTON
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State | TX
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Zip | 77031-1906
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Country | US
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Telephone | 281-499-0505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAITH WARNER
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Credential |
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Telephone | 281-499-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice 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 | 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 #4
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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