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General NPI Number Information
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NPI Number | 1215255732
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Entity Type | Organization
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Legal Business Name | TENDER HEARTS, LLC
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Dates
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Enumeration Date | 05/07/2010
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 617 S 3RD ST
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-1812
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Country | US
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Telephone | 859-576-8854
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Fax |
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Provider Business Mailing Address
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Address Line | 617 S 3RD ST
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-1812
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Country | US
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Telephone | 859-576-8854
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARNELL JOAN HAWKINS
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Credential | CNA
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Telephone | 859-576-8854
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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 | KY
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