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General NPI Number Information
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NPI Number | 1174962070
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Entity Type | Organization
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Legal Business Name | LORENE TENDER CARE, INC.
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 288 EAST LN
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City | CENTER HILL
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State | FL
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Zip | 33514-4010
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Country | US
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Telephone | 352-303-8556
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Fax | 352-793-1219
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Provider Business Mailing Address
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Address Line | 288 EAST LN
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City | CENTER HILL
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State | FL
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Zip | 33514-4010
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Country | US
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Telephone | 352-303-8556
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Fax | 352-793-1219
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CARLA SHERMAN
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Credential |
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Telephone | 352-303-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 232652
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License Number State | FL
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