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General NPI Number Information
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NPI Number | 1326630138
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Entity Type | Organization
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Legal Business Name | SENIORCARE SERVICES, LLC
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 1011 E TOUHY AVE STE 170B
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City | DES PLAINES
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State | IL
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Zip | 60018-5802
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Country | US
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Telephone | 773-509-1355
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Fax | 773-539-4655
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Provider Business Mailing Address
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Address Line | 3010 LYNDON B JOHNSON FWY STE 1100
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City | DALLAS
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State | TX
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Zip | 75234-2712
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Country | US
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Telephone | 800-379-1600
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Fax | 903-537-8420
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT OF COMPLIANCE
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Name | KATIE MONASTIERE
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Credential |
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Telephone | 800-379-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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