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NPI 1508463472

NPI 1508463472 : S-6 SENIOR SERVICES, LLC : HAZEN, ND

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General NPI Number Information
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    NPI Number           |    1508463472
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    Entity Type          |    Organization 
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    Legal Business Name  |    S-6 SENIOR SERVICES, LLC 
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Dates
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    Enumeration Date     |    10/05/2020
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    Last Update Date     |    10/05/2020
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Provider Practice Location Address
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    Address Line         |    34 MAIN ST W 
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    City                 |    HAZEN
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    State                |    ND
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    Zip                  |    58545-4205
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    Country              |    US
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    Telephone            |    701-748-9955
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 505 
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    City                 |    HAZEN
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    State                |    ND
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    Zip                  |    58545-0505
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    Country              |    US
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    Telephone            |    701-748-9953
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ERIN RUTH SORENSEN 
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    Credential           |    RN
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    Telephone            |    701-748-9953
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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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