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General NPI Number Information
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NPI Number | 1235443060
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Entity Type | Organization
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Legal Business Name | SENIOR HOME COMPANIONS, INC.
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 3902 SOMERSET DR
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City | SARASOTA
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State | FL
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Zip | 34242-1110
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Country | US
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Telephone | 941-924-0494
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Fax | 941-346-9010
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Provider Business Mailing Address
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Address Line | 3902 SOMERSET DR
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City | SARASOTA
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State | FL
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Zip | 34242-1110
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Country | US
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Telephone | 941-924-0494
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Fax | 941-346-9010
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDITH V,. CUPPY
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Credential |
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Telephone | 941-924-0494
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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 | 30211323
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License Number State | FL
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