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General NPI Number Information
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NPI Number | 1982726626
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Entity Type | Organization
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Legal Business Name | SENIOR CITIZENS UNITED COMMUNITY SERVICES
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 537 W NICHOLSON RD
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City | AUDUBON
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State | NJ
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Zip | 08106-1970
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Country | US
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Telephone | 856-456-1121
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Fax | 856-547-2685
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Provider Business Mailing Address
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Address Line | 537 W NICHOLSON RD
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City | AUDUBON
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State | NJ
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Zip | 08106-1970
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Country | US
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Telephone | 856-456-1121
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Fax | 854-547-2685
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Authorized Official
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Title or Position | CEO
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Name | MR. STEPHEN P CONSIDINE
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Credential |
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Telephone | 856-456-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 157100
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License Number State | NJ
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