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General NPI Number Information
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NPI Number | 1992594626
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Entity Type | Organization
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Legal Business Name | SERNA SOLUTIONS LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 29 ODO PO
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City | SANTA FE
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State | NM
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Zip | 87506-7265
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Country | US
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Telephone | 505-370-7499
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 ZAFARANO DR STE C
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City | SANTA FE
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State | NM
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Zip | 87507-2672
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Country | US
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Telephone | 505-207-8929
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | DONNA PRATT
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Credential |
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Telephone | 505-207-8929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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