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General NPI Number Information
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NPI Number | 1972685899
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Entity Type | Organization
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Legal Business Name | SHERMAN SENIORHEALTH SERVICES INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 1111 GALLAGHER DR
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City | SHERMAN
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State | TX
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Zip | 75090-1713
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Country | US
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Telephone | 903-870-7000
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Fax | 903-870-7188
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Provider Business Mailing Address
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Address Line | 1111 GALLAGHER DR
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City | SHERMAN
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State | TX
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Zip | 75090-1713
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Country | US
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Telephone | 903-870-7000
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Fax | 903-870-7188
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Authorized Official
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Title or Position | CEO
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Name | TRAVIS RODERICK
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Credential |
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Telephone | 903-870-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 008187
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License Number State | TX
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