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General NPI Number Information
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NPI Number | 1447480736
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Entity Type | Organization
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Legal Business Name | UNITED SENIOR SERVICES LLC
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 2800 DAVIS BLVD SUITE 207
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City | NAPLES
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State | FL
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Zip | 34104-4363
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Country | US
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Telephone | 239-530-1101
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Fax | 239-530-1102
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Provider Business Mailing Address
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Address Line | 2800 DAVIS BLVD SUITE 207
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City | NAPLES
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State | FL
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Zip | 34104-4363
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Country | US
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Telephone | 239-530-1101
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Fax | 239-530-1102
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ANDREAS J MUELLER
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Credential |
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Telephone | 239-530-1101
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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 | 299992945
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License Number State | FL
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