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General NPI Number Information
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NPI Number | 1043731052
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Entity Type | Organization
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Legal Business Name | TLC NON-EMERGENCY MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6235 JOSIE STREET
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City | ATWATER
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State | CA
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Zip | 95301
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Country | US
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Telephone | 209-761-6307
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Fax |
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Provider Business Mailing Address
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Address Line | 6235 JOSIE ST
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City | ATWATER
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State | CA
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Zip | 95301-9106
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Country | US
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Telephone | 209-761-6307
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Fax |
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Authorized Official
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Title or Position | OWNER- CEO
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Name | CARRIE MARIE PITCOCK
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Credential |
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Telephone | 209-761-6307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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