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General NPI Number Information
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NPI Number | 1740157072
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Entity Type | Organization
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Legal Business Name | SENIOR BEATS LLC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 716 E FAIRFIELD RD STE 107
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City | GREENVILLE
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State | SC
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Zip | 29605-3688
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Country | US
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Telephone | 864-419-0167
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Fax |
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Provider Business Mailing Address
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Address Line | 716 E FAIRFIELD RD STE 107
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City | GREENVILLE
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State | SC
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Zip | 29605-3688
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Country | US
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Telephone | 864-419-0167
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. GWENDOLYN JACKSON
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Credential | MBA LCSW
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Telephone | 864-419-0167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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