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General NPI Number Information
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NPI Number | 1962537894
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Entity Type | Organization
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Legal Business Name | TENDER LOVING CARE HEALTH CARE SERVICES OF WESTERN NEW YORK, LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 1127 WEHRLE DR
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City | AMHERST
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State | NY
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Zip | 14221-7700
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Country | US
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Telephone | 716-632-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 1983 MARCUS AVE SUITE 200
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1016
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Country | US
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Telephone | 516-358-1000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WILLARD T DERR
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Credential |
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Telephone | 516-358-1000
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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 | 1324L002
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License Number State | NY
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