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NPI Code Detail

MEDICARE: JENNIFER TENDLER

MEDICARE: JENNIFER TENDLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080C0008XChild Abuse Pediatrics Physician35.136050OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700231115
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER TENDLER
Provider Business Mailing Address
First Line : PO BOX 933432
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1 CHILDRENS PLZ
Second Line :
City : DAYTON
State : OH
Zip : 45404-1815
Country : US
Telephone Number : 937-641-4000
Fax Number : 937-641-3918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 10/12/2023

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