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General NPI Number Information
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NPI Number | 1750757738
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Entity Type | Organization
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Legal Business Name | SENCARE LLC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 9121 WICKER AVE SUITE 1
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City | SAINT JOHN
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State | IN
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Zip | 46373-9781
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Country | US
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Telephone | 219-472-0018
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Fax | 219-558-0829
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Provider Business Mailing Address
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Address Line | 9121 WICKER AVE SUITE 1
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City | SAINT JOHN
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State | IN
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Zip | 46373-9781
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Country | US
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Telephone | 219-472-0018
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Fax | 219-558-0829
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY LYNN SPEARSON
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Credential | CSA
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Telephone | 219-472-0018
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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 | 150123281
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License Number State | IN
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