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General NPI Number Information
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NPI Number | 1639988611
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Entity Type | Organization
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Legal Business Name | TENDER HEART SUPPORTIVE SERVICES
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 74 MAIN ST
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City | LEBANON
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State | NJ
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Zip | 08833-2158
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Country | US
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Telephone | 973-517-9271
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Fax |
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Provider Business Mailing Address
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Address Line | 12 VILLAGE GATE RD
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City | WASHINGTON
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State | NJ
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Zip | 07882-4402
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Country | US
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Telephone | 973-517-9271
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Fax | 908-935-0916
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Authorized Official
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Title or Position | OWNER
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Name | HELEN KEHINDE
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Credential |
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Telephone | 973-517-9271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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