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General NPI Number Information
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NPI Number | 1487992137
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Entity Type | Organization
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Legal Business Name | S&C SENIOR CARE LLC
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 104 REGENCY AVE
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City | VICTORIA
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State | TX
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Zip | 77904-2480
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Country | US
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Telephone | 361-433-0330
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Fax | 361-570-5961
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Provider Business Mailing Address
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Address Line | 607 FERNGLADE DR
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City | RICHMOND
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State | TX
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Zip | 77406-2040
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Country | US
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Telephone | 832-595-6635
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Fax | 832-595-6636
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE NILES
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Credential |
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Telephone | 832-595-6635
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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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