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General NPI Number Information
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NPI Number | 1427094812
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Entity Type | Organization
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Legal Business Name | SENIOR FRIEND ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 301 W. 1ST STREET SUITE 309
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City | DULUTH
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State | MN
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Zip | 55802-1636
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Country | US
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Telephone | 218-727-1111
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Fax | 218-720-6819
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Provider Business Mailing Address
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Address Line | 301 W. 1ST STREET SUITE 309
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City | DULUTH
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State | MN
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Zip | 55802-1636
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Country | US
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Telephone | 218-727-1111
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Fax | 218-720-6819
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SANDI L. KIENZLE
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Credential | R.N.
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Telephone | 218-727-1111
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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 | 330710
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License Number State | MN
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