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General NPI Number Information
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NPI Number | 1912878695
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Entity Type | Organization
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Legal Business Name | SPRINGS SERENITY CARE
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 685 CITADEL DR E STE 453
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone | 612-261-6069
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Fax |
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Provider Business Mailing Address
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Address Line | 685 CITADEL DR E STE 453
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RIDWAN ALI
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Credential | ADMIN
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Telephone | 510-307-6630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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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 | 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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