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General NPI Number Information
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NPI Number | 1841658879
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Entity Type | Organization
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Legal Business Name | TENDER YEARS
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 2335 BROOKHILL DR
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City | CAMARILLO
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State | CA
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Zip | 93010-2110
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Country | US
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Telephone | 805-857-2561
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 BROOKHILL DR
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City | CAMARILLO
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State | CA
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Zip | 93010-2110
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Country | US
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Telephone | 805-857-2561
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Fax |
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Authorized Official
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Title or Position | OWNER, TENDER YEARS, CONSULTANT
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Name | MS. PAULA LOEHR COLEMAN
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Credential | RN
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Telephone | 805-857-2561
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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 | 218390
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License Number State | CA
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