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General NPI Number Information
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NPI Number | 1043807761
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Entity Type | Organization
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Legal Business Name | TLC STAFFING LLC
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 116 E MADISON ST
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City | LAKE MILLS
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State | WI
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Zip | 53551-1666
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Country | US
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Telephone | 920-648-2300
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Fax | 920-648-2323
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Provider Business Mailing Address
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Address Line | 116 E MADISON ST
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City | LAKE MILLS
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State | WI
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Zip | 53551-1666
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Country | US
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Telephone | 920-648-2300
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Fax | 920-648-2323
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CLINTON STERWALD
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Credential |
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Telephone | 920-648-2300
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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 |
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License Number State |
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