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General NPI Number Information
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NPI Number | 1336859065
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Entity Type | Organization
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Legal Business Name | TL&D SERVICES LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 387 SE ARNETT AVE
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City | MADISON
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State | FL
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Zip | 32340-7022
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Country | US
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Telephone | 850-673-6476
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Fax |
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Provider Business Mailing Address
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Address Line | 387 SE ARNETT AVE
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City | MADISON
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State | FL
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Zip | 32340-7022
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Country | US
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Telephone | 850-673-6476
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONY LORENZO DAVIS
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Credential | REGISTERED NURSE
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Telephone | 850-673-6476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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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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