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General NPI Number Information
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NPI Number | 1609956929
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Entity Type | Organization
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Legal Business Name | SENIOR SELECT INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 6133 ROCKSIDE RD STE 101
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City | INDEPENDENCE
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State | OH
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Zip | 44131
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Country | US
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Telephone | 216-455-0635
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Fax | 216-455-0538
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Provider Business Mailing Address
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Address Line | 2830 COPLEY RD STE 2
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City | COPLEY
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State | OH
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Zip | 44321-2142
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Country | US
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Telephone | 330-665-4663
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Fax | 330-666-7816
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY LANCIANESE
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Credential |
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Telephone | 330-289-3824
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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 | 975291
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License Number State | OH
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