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General NPI Number Information
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NPI Number | 1588266357
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Entity Type | Organization
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Legal Business Name | SHINY DAYS HEALTH CARE, LLC
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 1033 SUFFOLD LANE
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City | CEDAR HILL
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State | TX
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Zip | 75104
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Country | US
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Telephone | 214-493-0951
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Fax |
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Provider Business Mailing Address
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Address Line | 606 HENSLEE DR.
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City | EULESS
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State | TX
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Zip | 76040-5360
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Country | US
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Telephone | 817-724-6042
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARO ESHAK ATIA AWADALLA
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Credential | RPH.
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Telephone | 817-724-6042
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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 |
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License Number State |
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