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General NPI Number Information
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NPI Number | 1215164918
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Entity Type | Organization
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Legal Business Name | KIRCHNER SENIOR SERVICES LLC
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 2475 S AVE A STE C
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City | YUMA
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State | AZ
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Zip | 85364-7168
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Country | US
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Telephone | 928-317-3037
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Fax | 928-317-0667
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Provider Business Mailing Address
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Address Line | 2475 S AVE A STE C
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City | YUMA
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State | AZ
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Zip | 85364-7168
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Country | US
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Telephone | 928-317-3037
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Fax | 928-317-0667
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Authorized Official
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Title or Position | FRANCHISE OWNER
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Name | MR. DAVID HAROLD KIRCHNER
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Credential |
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Telephone | 928-317-3037
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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 | 20366595
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License Number State | AZ
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