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General NPI Number Information
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NPI Number | 1275917965
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Entity Type | Organization
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Legal Business Name | HOUSE OF TENDER CARE HOME HEALTH INC.
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 1708 MARTIN LUTHER KING JR BLVD
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City | DALLAS
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State | TX
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Zip | 75215-3211
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Country | US
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Telephone | 214-791-2863
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 MARTIN LUTHER KING JR BLVD
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City | DALLAS
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State | TX
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Zip | 75215-3211
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Country | US
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Telephone | 214-791-2863
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD BENJAMIN SR.
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Credential |
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Telephone | 214-791-2863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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