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General NPI Number Information
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NPI Number | 1780959817
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Entity Type | Organization
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Legal Business Name | SENIOR HELPERS
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 6327 ARGYLE FOREST BLVD SUITE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32244
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Country | US
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Telephone | 904-779-5515
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Fax | 904-779-5441
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Provider Business Mailing Address
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Address Line | 6327 ARGYLE FOREST BLVD STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6115
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Country | US
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Telephone | 904-779-5515
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Fax | 904-779-5441
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Authorized Official
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Title or Position | OWNER
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Name | SHEREE LYNN ELLINGSON
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Credential | MBA
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Telephone | 904-779-5515
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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 | 230654
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License Number State | FL
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