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General NPI Number Information
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NPI Number | 1003040346
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Entity Type | Organization
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Legal Business Name | SENIOR CARE COMPANION,LLC.
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 2828 SHORELINE WAY
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City | LEWISVILLE
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State | TX
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Zip | 75056-4162
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Country | US
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Telephone | 214-686-5671
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 SHORELINE WAY
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City | LEWISVILLE
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State | TX
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Zip | 75056-4162
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Country | US
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Telephone | 214-686-5671
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RUBYNA BHAYANI
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Credential | RN,CCM
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Telephone | 214-686-5671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 012814
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 012814
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 012814
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License Number State | TX
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