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General NPI Number Information
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NPI Number | 1154553444
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES LLC
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 4102 MALAGA CT SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-1124
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Country | US
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Telephone | 505-349-3989
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Fax | 505-892-4342
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Provider Business Mailing Address
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Address Line | 4102 MALAGA CT SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-1124
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Country | US
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Telephone | 505-349-3989
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Fax | 505-892-4342
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARGARET SURROCK
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Credential |
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Telephone | 505-349-3989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2145
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License Number State | NM
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