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General NPI Number Information
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NPI Number | 1952125619
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Entity Type | Organization
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Legal Business Name | HEALTH SERENITY PSYCHIATRY LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 6100 CHANNINGWAY BLVD STE 310N
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City | COLUMBUS
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State | OH
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Zip | 43232-2910
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Country | US
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Telephone | 614-969-0707
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Fax |
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Provider Business Mailing Address
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Address Line | 204 MACKENZIE DR
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City | PICKERINGTON
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State | OH
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Zip | 43147-2308
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Country | US
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Telephone | 973-489-0436
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | HALIMAT OYABAMBI
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Credential | PMHNP
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Telephone | 973-489-0436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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