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General NPI Number Information
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NPI Number | 1952266579
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Entity Type | Organization
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Legal Business Name | SHARE 4 CARE
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 581 TREASURE LN
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City | STARKVILLE
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State | MS
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Zip | 39759-8770
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Country | US
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Telephone | 662-640-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 581 TREASURE LN
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City | STARKVILLE
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State | MS
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Zip | 39759-8770
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Country | US
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Telephone | 662-640-4595
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Fax |
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Authorized Official
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Title or Position | CASE MANAGEMENT
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Name | TEQUILA SHREE BUSH-JONES
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Credential | RN
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Telephone | 662-694-2437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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