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General NPI Number Information
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NPI Number | 1821043720
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Entity Type | Organization
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Legal Business Name | SENIOR HOME CONNECTIONS, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4923 COMMONWEALTH DR
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City | SARASOTA
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State | FL
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Zip | 34242-1421
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Country | US
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Telephone | 941-349-1013
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Fax |
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Provider Business Mailing Address
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Address Line | 5053 OCEAN BLVD
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City | SARASOTA
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State | FL
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Zip | 34242-1607
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Country | US
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Telephone | 941-349-1013
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Fax | 941-349-1013
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. BETH LARSON WARRINER
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Credential | LCSW
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Telephone | 941-349-1013
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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 | SW1388
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License Number State | FL
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