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General NPI Number Information
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NPI Number | 1235252578
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Entity Type | Organization
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Legal Business Name | THE SHARING HEARTS
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 526 WARD ST
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City | SEALY
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State | TX
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Zip | 77474-2651
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Country | US
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Telephone | 832-855-4657
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Fax | 832-885-3421
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Provider Business Mailing Address
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Address Line | 526 WARD ST
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City | SEALY
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State | TX
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Zip | 77474-2651
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Country | US
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Telephone | 832-855-4657
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Fax | 832-885-3421
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Authorized Official
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Title or Position | OWNER
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Name | MISS JUDY KAT YELDERMAN
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Credential | RN
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Telephone | 979-885-4657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 120199
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License Number State | TX
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