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General NPI Number Information
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NPI Number | 1811820491
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Entity Type | Organization
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Legal Business Name | SENIOR CITIZENS DOLLAR A MONTH CLUB, INC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 108 TRUCK RT
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City | GRANGEVILLE
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State | ID
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Zip | 83530
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Country | US
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Telephone | 208-983-2033
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 446
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City | GRANGEVILLE
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State | ID
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Zip | 83530-0446
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Country | US
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Telephone | 208-983-2033
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MINNIE DOLORES KINDALL
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Credential |
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Telephone | 208-983-2033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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