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General NPI Number Information
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NPI Number | 1295190973
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Entity Type | Organization
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Legal Business Name | TLC NURSING & COMPANIONSHIP SERVICES LLC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/25/2015
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Provider Practice Location Address
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Address Line | 6743 RENATA CIR
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City | HOUSTON
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State | TX
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Zip | 77084-1349
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Country | US
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Telephone | 832-931-5409
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Fax | 281-864-4372
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Provider Business Mailing Address
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Address Line | 6743 RENATA CIR
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City | HOUSTON
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State | TX
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Zip | 77084-1349
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Country | US
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Telephone | 832-931-5409
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Fax | 281-864-4372
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TIFFANY COULTER
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Credential |
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Telephone | 832-931-5409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 017030
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License Number State | TX
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