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General NPI Number Information
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NPI Number | 1689185548
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Entity Type | Organization
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Legal Business Name | SENIOR CARE SERVICES, INC.
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 9832 N HAYDEN RD STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1299
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Country | US
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Telephone | 480-621-6672
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Fax | 480-905-8162
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Provider Business Mailing Address
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Address Line | 4340 E INDIAN SCHOOL RD STE 21-491
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City | PHOENIX
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State | AZ
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Zip | 85018-5397
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Country | US
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Telephone | 480-621-6672
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Fax | 480-905-8162
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. SHAUN M PHELAN
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Credential |
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Telephone | 480-621-6672
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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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