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General NPI Number Information
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NPI Number | 1841656329
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Entity Type | Organization
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Legal Business Name | SENIOR CITIZENS INDUSTRIES, INC
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 304 E 3RD ST
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City | GRAND ISLAND
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State | NE
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Zip | 68801-7718
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Country | US
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Telephone | 308-385-5308
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Fax | 308-385-5312
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Provider Business Mailing Address
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Address Line | 304 E 3RD ST
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City | GRAND ISLAND
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State | NE
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Zip | 68801-7718
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Country | US
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Telephone | 308-385-5308
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Fax | 308-385-5312
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | DAISY SPERLING
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Credential |
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Telephone | 308-385-5308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 27
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License Number State | NE
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