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General NPI Number Information
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NPI Number | 1699959072
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Entity Type | Organization
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Legal Business Name | TENDER LOVING CARE PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 3555 BAINBRIDGE AVE
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City | BRONX
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State | NY
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Zip | 10467-1411
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Country | US
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Telephone | 718-652-3535
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Fax | 718-652-2323
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Provider Business Mailing Address
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Address Line | 3555 BAINBRIDGE AVE
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City | BRONX
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State | NY
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Zip | 10467-1411
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Country | US
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Telephone | 718-652-3535
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Fax | 718-652-2323
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Authorized Official
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Title or Position | PARTNER
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Name | JORGE LLAURADO
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Credential | PT
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Telephone | 718-652-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 021098-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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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 | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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