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General NPI Number Information
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NPI Number | 1336892629
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Entity Type | Organization
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Legal Business Name | TLC PRIVATE HOME CARE INC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 25 MAIN ST
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3106
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Country | US
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Telephone | 508-383-3956
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MAIN ST
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City | BUZZARDS BAY
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State | MA
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Zip | 02532-3106
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Country | US
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Telephone | 508-383-3956
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | ANJOLI FISHER
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Credential |
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Telephone | 781-540-1269
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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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Taxonomy #2
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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