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General NPI Number Information
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NPI Number | 1316354947
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 2208 2ND AVE SUITE 100
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City | SEATTLE
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State | WA
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Zip | 98121-2035
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Country | US
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Telephone | 206-727-6206
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 2ND AVE SUITE 100
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City | SEATTLE
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State | WA
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Zip | 98121-2035
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Country | US
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Telephone | 206-727-6206
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOANNE DONOHUE
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Credential |
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Telephone | 206-727-6206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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