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NPI 1063740686

NPI 1063740686 : THE SENIORS OPTION, INC. : KALAMAZOO, MI

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General NPI Number Information
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    NPI Number           |    1063740686
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE SENIORS OPTION, INC. 
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Dates
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    Enumeration Date     |    11/19/2009
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    Last Update Date     |    11/19/2009
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Provider Practice Location Address
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    Address Line         |    4000 PORTAGE ST SUITE 113
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    City                 |    KALAMAZOO
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    State                |    MI
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    Zip                  |    49001-6900
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    Country              |    US
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    Telephone            |    248-552-0764
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    Fax                  |    248-552-0765
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Provider Business Mailing Address
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    Address Line         |    25511 SOUTHFIELD RD SUITE 104
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    City                 |    SOUTHFIELD
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    State                |    MI
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    Zip                  |    48075-1856
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    Country              |    US
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    Telephone            |    248-552-0764
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    Fax                  |    248-552-0765
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MOHAMMAD ALHOSAINI ALIAN 
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    Credential           |    PT
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    Telephone            |    248-552-0764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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