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General NPI Number Information
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NPI Number | 1043801731
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Entity Type | Organization
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Legal Business Name | TLC CARE CHOICES INC.
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 610 JAY DR
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City | STERLING
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State | CO
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Zip | 80751-4718
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Country | US
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Telephone | 970-522-7335
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Fax |
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Provider Business Mailing Address
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Address Line | 23 SCOTT DR N
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City | BROOMFIELD
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State | CO
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Zip | 80020-1139
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Country | US
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Telephone | 303-888-8051
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNEMARIE GLENN
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Credential |
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Telephone | 130-388-8805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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