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General NPI Number Information
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NPI Number | 1326598368
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Entity Type | Organization
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Legal Business Name | SHALOM CARE SERVICES LLC
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 3017 LIPIZZAN DR
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City | DENTON
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State | TX
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Zip | 76210-0000
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Country | US
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Telephone | 469-774-1446
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Fax |
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Provider Business Mailing Address
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Address Line | 11300 HILLTOP RD
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City | ARGYLE
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State | TX
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Zip | 76226-0000
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Country | US
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Telephone | 469-774-1446
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAMS OSAHONTUEME ARELOEGBE
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Credential |
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Telephone | 469-774-1446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 0000000
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License Number State | TX
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