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General NPI Number Information
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NPI Number | 1033540984
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Entity Type | Organization
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Legal Business Name | M H TENDER CARE INC.
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 9 WAINWOOD PL
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City | PALM COAST
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State | FL
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Zip | 32164-7674
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Country | US
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Telephone | 386-237-1357
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Fax | 386-597-6922
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Provider Business Mailing Address
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Address Line | 3 WAVERING PL
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City | PALM COAST
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State | FL
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Zip | 32164-7639
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Country | US
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Telephone | 386-237-1357
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Fax | 386-597-6922
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Authorized Official
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Title or Position | ADMINISTRATOR / OWNER
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Name | MS. MURNA M HANSON
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Credential |
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Telephone | 386-237-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL9901
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License Number State | FL
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