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General NPI Number Information
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NPI Number | 1982472270
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Entity Type | Organization
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Legal Business Name | TENDER HEARTS ENTERPRISES
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 9891 IRVINE CENTER DR STE 130
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City | IRVINE
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State | CA
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Zip | 92618-4318
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Country | US
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Telephone | 949-289-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 9891 IRVINE CENTER DR STE 130
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City | IRVINE
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State | CA
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Zip | 92618-4318
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Country | US
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Telephone | 949-289-5935
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VIRGINIA DIXON
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Credential |
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Telephone | 949-485-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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