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General NPI Number Information
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NPI Number | 1568009918
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Entity Type | Organization
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Legal Business Name | TAILORED CARE LLC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 85 POINT LANDING LN
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City | MAGNOLIA
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State | DE
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Zip | 19962-2800
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Country | US
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Telephone | 302-697-1633
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Fax | 866-397-8966
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Provider Business Mailing Address
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Address Line | 85 POINT LANDING LN
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City | MAGNOLIA
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State | DE
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Zip | 19962-2800
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Country | US
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Telephone | 302-697-1633
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Fax | 866-397-8966
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | TABITHA CEPHAS
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Credential |
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Telephone | 302-883-1761
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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 |
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License Number State |
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