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General NPI Number Information
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NPI Number | 1982432852
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Entity Type | Organization
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Legal Business Name | TN VENTURE LLC
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 1310 N 1ST ST # 102
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City | SAN JOSE
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State | CA
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Zip | 95112-4709
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Country | US
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Telephone | 408-668-5052
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 N 1ST ST # 126
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City | SAN JOSE
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State | CA
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Zip | 95112-4709
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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 | OWNER
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Name | TIEN NGUYEN
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Credential |
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Telephone | 408-668-5052
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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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