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General NPI Number Information
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NPI Number | 1396114914
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Entity Type | Organization
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Legal Business Name | TCC CARE SERVICES LLC
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 6806 FALLSBROOK CT SUITE A-1
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City | GRANITE BAY
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State | CA
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Zip | 95746-6512
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Country | US
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Telephone | 916-512-3299
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Fax | 916-512-3353
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Provider Business Mailing Address
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Address Line | 9875 VILLAGE CENTER DR
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City | GRANITE BAY
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State | CA
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Zip | 95746-6691
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Country | US
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Telephone | 916-512-3299
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Fax | 916-512-3353
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Authorized Official
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Title or Position | OWNER/ GENERAL MANAGER
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Name | DAVID MOELLER
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Credential |
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Telephone | 916-512-3299
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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 |
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License Number State |
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