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General NPI Number Information
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NPI Number | 1023389830
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Entity Type | Organization
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Legal Business Name | TENDER HEARTS HOMECARE LLC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 401 E 3RD ST
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City | PEMBROKE
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State | NC
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Zip | 28372-8889
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Country | US
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Telephone | 910-740-4124
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Fax | 910-739-3900
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Provider Business Mailing Address
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Address Line | PO BOX 1965
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City | PEMBROKE
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State | NC
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Zip | 28372-1965
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Country | US
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Telephone | 910-740-4124
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Fax | 910-739-3900
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Authorized Official
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Title or Position | CEO
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Name | MISS SHERRY MARIA OXENDINE
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Credential |
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Telephone | 910-522-1145
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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 | HC 4514
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License Number State | NC
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