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General NPI Number Information
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NPI Number | 1245759984
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Entity Type | Organization
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Legal Business Name | TLC MEALS ON WHEELS
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 09/13/2017
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Provider Practice Location Address
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Address Line | 7300 S CLERMONT DR
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City | CENTENNIAL
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State | CO
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Zip | 80122-2243
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Country | US
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Telephone | 303-798-7642
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Fax | 303-721-2921
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Provider Business Mailing Address
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Address Line | PO BOX 3108
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City | CENTENNIAL
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State | CO
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Zip | 80161-3108
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Country | US
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Telephone | 303-798-7642
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Fax | 303-721-2921
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DIANE MCCLYMONDS
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Credential |
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Telephone | 303-798-7642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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