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General NPI Number Information
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NPI Number | 1780348557
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Entity Type | Organization
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Legal Business Name | TENDER LOVE CARE PERSONAL CARE
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 2958 HIGHWAY 35 SOUTH
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City | FOXWORTH
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State | MS
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Zip | 39483
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Country | US
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Telephone | 601-395-6733
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 HIGHWAY 35 S
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City | FOXWORTH
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State | MS
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Zip | 39483-3852
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Country | US
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Telephone | 601-395-6733
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA PETERS
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Credential |
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Telephone | 601-395-6733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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