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General NPI Number Information
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NPI Number | 1235373861
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Entity Type | Organization
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Legal Business Name | FULLFILLMENT TENDER CARE, INC.
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 176 THOMPSON LANE SUITE G-2
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 615-781-4880
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Fax | 615-781-4881
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Provider Business Mailing Address
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Address Line | 176 THOMPSON LANE SUITE G-2
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 615-781-4880
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Fax | 615-781-4881
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | CORDELIA NWOZO
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Credential |
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Telephone | 615-419-1790
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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 | 1000000003888
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License Number State | TN
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