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General NPI Number Information
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NPI Number | 1487774402
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Entity Type | Organization
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Legal Business Name | WILLOWS AT SHERMAN ASSISTED LIVING & MEMORY CARE, LP
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3410 POST OAK XING
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City | SHERMAN
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State | TX
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Zip | 75092-3493
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Country | US
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Telephone | 903-891-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 FAIRVIEW INDUSTRIAL DR SE STE 270
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City | SALEM
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State | OR
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Zip | 97302-4975
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Country | US
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Telephone | 503-485-4600
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JON HARDER
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Credential |
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Telephone | 503-485-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 118493
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License Number State | TX
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