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General NPI Number Information
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NPI Number | 1699219782
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Entity Type | Organization
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Legal Business Name | TENDER LOVING HOME CARE
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 4346 W 137TH ST
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City | CLEVELAND
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State | OH
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Zip | 44135-2123
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Country | US
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Telephone | 216-372-5826
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Fax |
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Provider Business Mailing Address
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Address Line | 4346 W 137TH ST
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City | CLEVELAND
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State | OH
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Zip | 44135-2123
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Country | US
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Telephone | 216-372-5826
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA MAY GENOVESE
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Credential |
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Telephone | 216-372-5826
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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 | 3909025
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License Number State | OH
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