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General NPI Number Information
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NPI Number | 1376954362
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Entity Type | Organization
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Legal Business Name | SENIORS COUNSELING SENIORS LLC
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 10823 TOPBRANCH LN
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City | COLUMBIA
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State | MD
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Zip | 21044-3683
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Country | US
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Telephone | 410-740-0171
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Fax |
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Provider Business Mailing Address
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Address Line | 10823 TOPBRANCH LN
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City | COLUMBIA
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State | MD
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Zip | 21044-3683
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Country | US
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Telephone | 410-740-0171
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MR. BENOY THOMAS
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Credential | M.S.W, LCSW-C, LICSW
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Telephone | 410-740-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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