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General NPI Number Information
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NPI Number | 1609745660
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Entity Type | Organization
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Legal Business Name | SENESCENCE LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 4017 COMMON ST
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City | LAKE CHARLES
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State | LA
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Zip | 70607-2942
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Country | US
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Telephone | 318-240-8515
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Fax |
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Provider Business Mailing Address
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Address Line | 4017 COMMON ST
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City | LAKE CHARLES
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State | LA
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Zip | 70607-2942
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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 | SECRETARY
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Name | JAY KOEPER
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Credential |
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Telephone | 970-828-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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