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General NPI Number Information
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NPI Number | 1568186757
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Entity Type | Organization
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Legal Business Name | SENIOR CHORE SERVICES LLC
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 22 CASCADE LN
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City | WATERFORD
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State | MI
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Zip | 48327-3873
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Country | US
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Telephone | 248-904-9553
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CASCADE LN
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City | WATERFORD
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State | MI
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Zip | 48327-3873
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARRELL JONATHAN WILLIAMS
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Credential |
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Telephone | 248-904-9553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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