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General NPI Number Information
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NPI Number | 1366309106
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Entity Type | Organization
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Legal Business Name | SHARING LIFE COMMUNITY OUTREACH, INC.
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 3795 W EMPORIUM CIR
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City | MESQUITE
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State | TX
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Zip | 75150-6509
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Country | US
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Telephone | 972-285-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 3795 W EMPORIUM CIR
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City | MESQUITE
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State | TX
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Zip | 75150-6509
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Country | US
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Telephone | 972-285-5819
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Fax |
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | MRS. TERESA JACKSON
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Credential |
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Telephone | 972-279-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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