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General NPI Number Information
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NPI Number | 1841695731
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Entity Type | Organization
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Legal Business Name | SY CARE AND SUPPORT TX LLC
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 17127 OAKWOOD CHASE DR
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City | SPRING
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State | TX
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Zip | 77379-5163
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Country | US
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Telephone | 281-235-7577
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 FM 1960 RD W STE 450
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City | HOUSTON
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State | TX
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Zip | 77070-5654
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JENNIFER DANIELS
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Credential |
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Telephone | 281-235-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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