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General NPI Number Information
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NPI Number | 1295180511
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Entity Type | Organization
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Legal Business Name | NEIGHBOR SENIOR SERVICES LLC
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 2042 WOODDALE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-4399
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Country | US
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Telephone | 651-702-4663
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Fax | 651-846-6149
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Provider Business Mailing Address
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Address Line | 2042 WOODDALE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-4399
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Country | US
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Telephone | 651-702-4663
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Fax | 651-846-6149
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. DENNIS P TODORA
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Credential |
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Telephone | 651-702-4663
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MN
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