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General NPI Number Information
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NPI Number | 1093324915
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Entity Type | Organization
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Legal Business Name | TARA CARES LLC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 1226 ARTISAN DR
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City | MADISON
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State | WI
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Zip | 53704-6494
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Country | US
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Telephone | 608-213-9267
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Fax | 608-471-4132
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Provider Business Mailing Address
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Address Line | 2810 CROSSROADS DR STE 4000
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City | MADISON
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State | WI
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Zip | 53718-8014
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Country | US
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Telephone | 608-960-9610
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Fax | 608-471-4132
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Authorized Official
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Title or Position | MANAGER/ MEMBER
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Name | MS. TENZIN LHAZE
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Credential | RN, BSN, CCRN, CDDN
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Telephone | 608-213-9267
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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 |
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License Number State |
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