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General NPI Number Information
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NPI Number | 1457222598
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Entity Type | Organization
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Legal Business Name | SENIOR INDEPENDENCE SPECIALISTS, INC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 1111 9TH ST STE 202A
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City | CORONADO
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State | CA
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Zip | 92118-2654
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Country | US
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Telephone | 619-880-5522
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Fax | 619-317-0194
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Provider Business Mailing Address
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Address Line | 1111 9TH ST STE 202A
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City | CORONADO
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State | CA
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Zip | 92118-2654
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Country | US
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Telephone | 619-880-5522
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Fax | 619-317-0194
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARON D LANEY
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Credential |
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Telephone | 619-402-6138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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