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General NPI Number Information
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NPI Number | 1710002472
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Entity Type | Organization
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Legal Business Name | TENDER CARE PEDIATRICS PA
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 700 W. CENTRAL AVE STE 210
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City | EL DORADO
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State | KS
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Zip | 67042
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Country | US
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Telephone | 316-322-7723
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Fax | 376-321-3883
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Provider Business Mailing Address
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Address Line | 700 W. CENTRAL AVE STE 210
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City | EL DORADO
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State | KS
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Zip | 67042
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Country | US
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Telephone | 316-322-7723
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Fax | 376-321-3883
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LYNETTE I SCHEID
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Credential |
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Telephone | 316-322-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-28931
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-30497
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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