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General NPI Number Information
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NPI Number | 1205199809
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Entity Type | Organization
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Legal Business Name | TLC NURSING SERVICES
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 41 SHADETREE LN
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City | LEVITTOWN
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State | PA
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Zip | 19055-2201
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Country | US
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Telephone | 215-547-6202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1940
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City | BENSALEM
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State | PA
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Zip | 19020-6940
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Country | US
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Telephone | 215-962-2411
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | FRANK BAKER
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Credential |
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Telephone | 215-962-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | RN606954
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License Number State | PA
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