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General NPI Number Information
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NPI Number | 1104787589
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Entity Type | Organization
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Legal Business Name | SENIOR SOLUTIONS
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1440 BEAUMONT AVE UNIT A2-343
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City | BEAUMONT
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State | CA
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Zip | 92223-6820
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Country | US
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Telephone | 310-595-4174
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 BEAUMONT AVE UNIT A2-343
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City | BEAUMONT
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State | CA
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Zip | 92223-6820
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Country | US
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Telephone | 310-595-4174
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CAROLYN BURRELL
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Credential | MBA, EJD, RCFE ADMIN
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Telephone | 310-595-4174
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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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