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General NPI Number Information
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NPI Number | 1225696230
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Entity Type | Organization
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Legal Business Name | TMC HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 14118 ARBOR RIDGE DR
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City | CHARLOTTE
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State | NC
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Zip | 28273-8878
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Country | US
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Telephone | 812-589-4121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1782
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City | FORT MILL
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State | SC
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Zip | 29716-1782
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Country | US
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Telephone | 812-589-4121
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH AIDE SPECIALIST
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Name | TIPHANIE JENEL GADSON
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Credential |
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Telephone | 812-589-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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