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General NPI Number Information
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NPI Number | 1518530732
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Entity Type | Organization
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Legal Business Name | SENIOR CITIZENS CHOICE, LLC
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Dates
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Enumeration Date | 07/24/2021
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Last Update Date | 07/24/2021
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Provider Practice Location Address
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Address Line | 103 WYOMING ST
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City | ADEL
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State | GA
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Zip | 31620-5214
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Country | US
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Telephone | 229-585-1363
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Fax |
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Provider Business Mailing Address
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Address Line | 6452 BENNINGTON BLUFF CT
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City | MABLETON
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State | GA
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Zip | 30126-7271
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Country | US
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Telephone | 404-447-4091
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. MILLICENT OLIVIA CRAWFORD
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Credential |
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Telephone | 404-447-4091
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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 |
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License Number State |
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