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General NPI Number Information
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NPI Number | 1972880805
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Entity Type | Organization
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Legal Business Name | ABC SENIOR SOLUTIONS
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 120 S DENTON TAP RD STE 450 PMB 174
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City | COPPELL
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State | TX
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Zip | 75019-5049
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Country | US
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Telephone | 855-533-8688
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Fax | 866-243-8902
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Provider Business Mailing Address
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Address Line | 120 S DENTON TAP RD STE 450 PMB 174
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City | COPPELL
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State | TX
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Zip | 75019-5049
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Country | US
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Telephone | 855-533-8688
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Fax | 866-243-8902
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Authorized Official
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Title or Position | CEO
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Name | JOIE BAILEY
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Credential |
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Telephone | 214-533-5743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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