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General NPI Number Information
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NPI Number | 1336504877
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Entity Type | Organization
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Legal Business Name | SENIORS HOME HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 5401 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4245
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Country | US
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Telephone | 317-986-5332
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Fax | 317-986-5532
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Provider Business Mailing Address
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Address Line | 5401 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4245
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Country | US
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Telephone | 317-986-5332
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Fax | 317-986-5532
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS KIMBERLY BRINEGAR
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Credential |
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Telephone | 31798765332
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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 | IN
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