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General NPI Number Information
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NPI Number | 1770537854
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Entity Type | Organization
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Legal Business Name | TENDER LOVING CARE HEALTH CARE SERVICES OF NEW ENGLAND, LLC
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Dates
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Enumeration Date | 05/21/2006
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 300 CENTERVILLE RD SUITE 202
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City | WARWICK
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State | RI
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Zip | 02886-0200
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Country | US
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Telephone | 401-737-4236
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Fax | 401-738-1618
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Provider Business Mailing Address
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Address Line | 3854 AMERICAN WAY SUITE A
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City | BATON ROUGE
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State | LA
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Zip | 70816-4896
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL B KUSSEROW
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Credential |
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Telephone | 225-292-2031
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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 | HNC02310
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HNC02355
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HNC02384
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License Number State | RI
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