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General NPI Number Information
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NPI Number | 1366262271
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Entity Type | Organization
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Legal Business Name | TENDER CARE LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 135 PARK ST
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City | DURANT
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State | MS
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Zip | 39063-3821
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Country | US
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Telephone | 662-792-1038
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Fax |
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Provider Business Mailing Address
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Address Line | 135 PARK ST
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City | DURANT
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State | MS
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Zip | 39063
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIKA COLLINS-GRIFFIN
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Credential | PCA
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Telephone | 662-792-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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