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General NPI Number Information
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NPI Number | 1154279735
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Entity Type | Organization
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Legal Business Name | TENDER COMPOSURE INC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 7101 S 83RD ST APT 10
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City | LA VISTA
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State | NE
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Zip | 68128-2189
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Country | US
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Telephone | 402-215-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 S 83RD ST
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City | LA VISTA
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State | NE
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Zip | 68128-4837
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Country | US
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Telephone | 402-215-4689
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH CARE
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Name | TENNILLE PRUITT
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Credential |
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Telephone | 402-215-4689
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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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