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General NPI Number Information
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NPI Number | 1083324404
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Entity Type | Organization
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Legal Business Name | SHALOM HEALTH CARE MANAGEMENT LLC
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 950 WASHINGTON BLVD
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City | BEAUMONT
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State | TX
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Zip | 77705-2251
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Country | US
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Telephone | 409-402-0169
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Fax | 409-600-2869
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Provider Business Mailing Address
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Address Line | 1500 S DAIRY ASHFORD RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77077-3858
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Country | US
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Telephone | 409-402-0169
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABRAHAM NABIL
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Credential |
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Telephone | 713-705-3490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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