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General NPI Number Information
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NPI Number | 1790922367
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Entity Type | Organization
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Legal Business Name | SILVERADO SENIOR LIVING OF TEXAS
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 13810 CHAMPION FOREST DR SUITE 147
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City | HOUSTON
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State | TX
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Zip | 77069-1844
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Country | US
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Telephone | 832-249-9940
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Fax | 832-249-9933
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Provider Business Mailing Address
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Address Line | 13810 CHAMPION FOREST DR SUITE 147
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City | HOUSTON
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State | TX
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Zip | 77069-1844
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Country | US
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Telephone | 832-249-9940
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Fax | 832-249-9933
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SHERRY W JEROME
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Credential | MA, CMC
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Telephone | 832-249-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 010262
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010262
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 010262
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License Number State | TX
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