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General NPI Number Information
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NPI Number | 1154576692
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Entity Type | Organization
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Legal Business Name | TENDER LOVING CARE HOME SERVICE
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 5860 NW 22ND ST
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City | LAUDERHILL
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State | FL
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Zip | 33313-3183
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Country | US
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Telephone | 754-422-0921
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Fax |
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Provider Business Mailing Address
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Address Line | 5860 NW 22ND ST
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City | LAUDERHILL
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State | FL
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Zip | 33313-3183
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Country | US
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Telephone | 754-422-0921
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAINE ROBINSON
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Credential |
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Telephone | 754-422-0921
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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 | 999999999
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License Number State | FL
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