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General NPI Number Information
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NPI Number | 1881966646
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Entity Type | Organization
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Legal Business Name | SENIOR RESOURCE ASSOCIATION, INC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 686 14TH STREET
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City | VERO BEACH, FL
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State | FL
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Zip | 32960-5770
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Country | US
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Telephone | 772-569-0760
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Fax | 772-778-7272
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Provider Business Mailing Address
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Address Line | 694 14TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-5770
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Country | US
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Telephone | 772-569-0760
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Fax | 772-778-7272
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | KAREN DEIGL
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Credential | MS
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Telephone | 772-569-0760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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