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General NPI Number Information
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NPI Number | 1548587454
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Entity Type | Organization
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Legal Business Name | SHEPHERD'S TOUCH MINISTRIES, INC
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Dates
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Enumeration Date | 05/02/2010
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Last Update Date | 05/02/2010
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Provider Practice Location Address
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Address Line | 308 E GARRITY ST
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City | CORSICANA
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State | TX
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Zip | 75110-1428
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Country | US
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Telephone | 903-872-9155
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Fax | 903-872-9201
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Provider Business Mailing Address
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Address Line | 308 E GARRITY ST
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City | CORSICANA
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State | TX
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Zip | 75110-1428
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Country | US
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Telephone | 903-872-9155
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Fax | 903-872-9201
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRTRATOR
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Name | MR. MARK ANDREW THOMMARSON
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Credential |
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Telephone | 903-872-9155
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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 | 009815
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License Number State | TX
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