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General NPI Number Information
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NPI Number | 1053596007
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Entity Type | Organization
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Legal Business Name | TENDER MEDICAL CARE PC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 2550 WEBB AVE
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City | BRONX
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State | NY
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Zip | 10468-3930
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Country | US
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Telephone | 732-406-5985
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Fax |
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Provider Business Mailing Address
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Address Line | 14 VAN SAUN PL
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City | FAIR LAWN
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State | NJ
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Zip | 07410-4123
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Country | US
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Telephone | 732-406-5985
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETER
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Name | NIRMALA R TUMMALAPENTA
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Credential |
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Telephone | 718-379-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 216016
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License Number State | NY
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