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NPI 1225273683

NPI 1225273683 : TENDER HEART PLUS : WESTWEGO, LA

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General NPI Number Information
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    NPI Number           |    1225273683
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    Entity Type          |    Organization 
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    Legal Business Name  |    TENDER HEART PLUS 
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Dates
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    Enumeration Date     |    12/12/2008
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    Last Update Date     |    12/12/2008
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Provider Practice Location Address
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    Address Line         |    949 AVENUE F 
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    City                 |    WESTWEGO
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    State                |    LA
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    Zip                  |    70094-4422
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    Country              |    US
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    Telephone            |    504-347-7650
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    Fax                  |    504-341-8928
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Provider Business Mailing Address
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    Address Line         |    949 AVENUE F 
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    City                 |    WESTWEGO
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    State                |    LA
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    Zip                  |    70094-4422
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    Country              |    US
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    Telephone            |    504-347-7650
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    Fax                  |    504-341-8928
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Authorized Official
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    Title or Position    |    DIRECTOR/ OWNER
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    Name                 |     BETTY J ANDREWS 
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    Credential           |    
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    Telephone            |    504-347-7650
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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       |    7940
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    7943
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    License Number State |    LA
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