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General NPI Number Information
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NPI Number | 1366602534
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Entity Type | Organization
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Legal Business Name | SENIOR CARE MANAGEMENT INC
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 105 NORTH MAIN ST
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City | SAVOY
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State | TX
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Zip | 75479
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Country | US
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Telephone | 903-965-0200
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Fax | 972-303-9992
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Provider Business Mailing Address
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Address Line | 1413 E INTERSTATE 30 STE 7
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City | GARLAND
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State | TX
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Zip | 75043-4598
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Country | US
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Telephone | 972-303-9000
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Fax | 972-303-9992
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Authorized Official
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Title or Position | VICE PRESIDENT AND CFO
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Name | SHANE LEWIS
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Credential |
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Telephone | 972-303-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 118311
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License Number State | TX
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