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General NPI Number Information
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NPI Number | 1215799978
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Entity Type | Organization
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Legal Business Name | SENIOR THERAPEUTIC SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 4001 WALLI STRASSE DR STE B
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City | BURTON
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State | MI
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Zip | 48509-1729
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Country | US
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Telephone | 810-306-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 4001 WALLI STRASSE DR STE B
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City | BURTON
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State | MI
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Zip | 48509-1729
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Country | US
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Telephone | 810-306-2858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICK RIVETTE
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Credential |
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Telephone | 989-293-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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