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General NPI Number Information
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NPI Number | 1770779811
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Entity Type | Organization
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Legal Business Name | SENIOR GENERATIONS, LLC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 9853 E MIRASOL CIR
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2192
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Country | US
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Telephone | 480-628-9473
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Fax | 480-473-2014
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Provider Business Mailing Address
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Address Line | 9853 E MIRASOL CIR
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2192
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Country | US
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Telephone | 480-628-9473
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Fax | 480-473-2014
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Authorized Official
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Title or Position | GERIATRIC SOCIAL WORKER
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Name | MRS. JAN B POSIN
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Credential | LCSW, MSW, MS
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Telephone | 480-628-9473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-10247
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License Number State | AZ
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