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General NPI Number Information
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NPI Number | 1972592806
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Entity Type | Organization
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Legal Business Name | PARIS SENIOR CARE GROUP, INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 2160 LAMAR AVE
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City | PARIS
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State | TX
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Zip | 75460-4754
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Country | US
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Telephone | 903-785-0355
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Fax | 903-785-0365
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Provider Business Mailing Address
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Address Line | PO BOX 6723
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City | PARIS
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State | TX
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Zip | 75461-6723
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Country | US
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Telephone | 903-785-0355
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Fax | 903-785-0365
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. JEANNA ALLEN SMITH
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Credential |
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Telephone | 903-785-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009496
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License Number State | TX
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