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General NPI Number Information
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NPI Number | 1841600640
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Entity Type | Organization
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Legal Business Name | SHS-SIG SELECT 1, INC.
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 1135 N EARL RUDDER FREEWAY, STE 102
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City | BRYAN
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State | TX
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Zip | 77803
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Country | US
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Telephone | 979-704-6954
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Fax | 979-704-6956
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Provider Business Mailing Address
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Address Line | 1135 N EARL RUDDER FREEWAY, STE 102
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City | BRYAN
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State | TX
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Zip | 77803
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Country | US
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Telephone | 979-704-6954
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Fax | 979-704-6956
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ROBERT PALMAREZ
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Credential |
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Telephone | 979-450-1122
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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 |
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License Number State |
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