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General NPI Number Information
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NPI Number | 1306174172
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Entity Type | Organization
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Legal Business Name | TENDER MERCIES, INC.
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Dates
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Enumeration Date | 12/05/2009
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Last Update Date | 12/05/2009
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Provider Practice Location Address
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Address Line | 106 SUMTER ST
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City | PORTSMOUTH
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State | VA
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Zip | 23702-1940
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Country | US
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Telephone | 757-951-5138
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Fax | 757-951-5138
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Provider Business Mailing Address
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Address Line | 106 SUMTER ST
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City | PORTSMOUTH
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State | VA
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Zip | 23702-1940
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Country | US
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Telephone | 757-951-5138
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Fax | 757-951-5138
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. MOSES OLADAPO OLANREWAJU
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Credential | PHD.
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Telephone | 757-951-5138
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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