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General NPI Number Information
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NPI Number | 1508010810
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Entity Type | Organization
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Legal Business Name | SILMON CARE LT.D. CO.
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Dates
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Enumeration Date | 11/13/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 102 EMMA LYNN LN
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City | HUTTO
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State | TX
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Zip | 78634-5017
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Country | US
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Telephone | 512-759-2788
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Fax |
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Provider Business Mailing Address
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Address Line | 17234 BUSHMILLS RD
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-1717
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Country | US
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Telephone | 512-317-3397
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Fax | 512-251-1128
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. NIKKA J MILLER
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Credential |
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Telephone | 51123173397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 385H00000X
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License Number State | TX
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