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General NPI Number Information
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NPI Number | 1609474071
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Entity Type | Organization
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Legal Business Name | TENDER LOVING HOME CARE LLC
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 4646 E FORT LOWELL RD STE 106
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City | TUCSON
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State | AZ
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Zip | 85712-1100
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Country | US
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Telephone | 520-244-3016
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Fax | 520-244-1995
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Provider Business Mailing Address
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Address Line | 4646 E FORT LOWELL RD STE 106
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City | TUCSON
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State | AZ
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Zip | 85712-1100
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Country | US
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Telephone | 520-244-3016
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Fax | 520-244-1995
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. GAETAN NTEZEH NKEMZI
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Credential | PHARMD
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Telephone | 520-250-7898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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