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General NPI Number Information
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NPI Number | 1487284352
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Entity Type | Organization
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Legal Business Name | VALIANCE SENIOR CARE SERVICES LLC
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 5903 SANTA CECILIA LN
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City | HOUSTON
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State | TX
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Zip | 77017-5990
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Country | US
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Telephone | 281-624-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 3203 ASHE CREEK DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-1866
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Country | US
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Telephone | 832-608-4681
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TIFFANY PUNCHARD
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Credential | RN
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Telephone | 281-624-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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