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General NPI Number Information
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NPI Number | 1265388599
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Entity Type | Organization
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Legal Business Name | SISTER'S HEARTS OF GOLD, LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1712 PRESTON DR
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City | LONGVIEW
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State | TX
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Zip | 75604-4434
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Country | US
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Telephone | 903-374-3275
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12227
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City | LONGVIEW
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State | TX
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Zip | 75607-2227
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Country | US
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Telephone | 903-374-3275
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHAMEKA LASHAY TEMPLETON
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Credential | RN
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Telephone | 903-252-2908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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