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General NPI Number Information
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NPI Number | 1992571673
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Entity Type | Organization
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Legal Business Name | SERENITY MH CLINIC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 2011 E CROSSROADS LN STE 3022011E
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City | OLATHE
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State | KS
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Zip | 66062-1674
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Country | US
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Telephone | 913-620-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 E CROSSROADS LN STE 302
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City | OLATHE
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State | KS
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Zip | 66062-1657
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Country | US
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Telephone | 913-620-2990
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MS. AHOU BERTHE ARTERBURN
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Credential | PMHNP-BC
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Telephone | 913-620-2990
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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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