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General NPI Number Information
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NPI Number | 1992819601
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Entity Type | Organization
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Legal Business Name | SERENDIPITY MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 01/26/2008
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Provider Practice Location Address
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Address Line | 2171 SILVER MOON TRL
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City | CROSBY
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State | TX
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Zip | 77532-3503
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Country | US
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Telephone | 281-338-4000
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Fax | 281-324-1230
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Provider Business Mailing Address
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Address Line | PO BOX 58866
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City | WEBSTER
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State | TX
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Zip | 77598-8866
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Country | US
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Telephone | 281-338-4000
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Fax | 281-324-6155
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DARRELL A GRIFFIN
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Credential | MD
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Telephone | 281-324-1230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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