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General NPI Number Information
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NPI Number | 1750590584
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Entity Type | Organization
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Legal Business Name | SHAMOR, INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3600 STANFORD ST
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City | GREENVILLE
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State | TX
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Zip | 75401-5584
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Country | US
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Telephone | 903-454-6636
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Fax | 903-454-8182
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Provider Business Mailing Address
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Address Line | 3600 STANFORD ST
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City | GREENVILLE
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State | TX
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Zip | 75401-5584
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Country | US
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Telephone | 903-454-6636
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Fax | 903-454-8182
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NELDA YOUNG
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Credential |
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Telephone | 903-454-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number | 118502
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License Number State | TX
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