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General NPI Number Information
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NPI Number | 1780482992
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Entity Type | Organization
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Legal Business Name | TENDERNESS THERAPY CENTER LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 823 S LAYTON BLVD
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City | MILWAUKEE
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State | WI
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Zip | 53215-1225
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Country | US
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Telephone | 414-727-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 6404 SW 162ND PATH
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City | MIAMI
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State | FL
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Zip | 33193-4474
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JESSICA VAZQUEZ
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Credential |
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Telephone | 305-335-8288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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