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General NPI Number Information
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NPI Number | 1982264362
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Entity Type | Organization
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Legal Business Name | SERENITY TRANSPORTATION SERVICES L.L.C.
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 211 S 7TH ST
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City | PALATKA
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State | FL
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Zip | 32177-4611
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Country | US
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Telephone | 754-252-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 211 S 7TH ST
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City | PALATKA
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State | FL
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Zip | 32177-4611
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Country | US
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Telephone | 754-252-6192
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Fax |
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Authorized Official
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Title or Position | PROPRIETOR
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Name | STEPHEN J BIEGENWALD
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Credential |
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Telephone | 754-252-6192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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