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General NPI Number Information
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NPI Number | 1447188768
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Entity Type | Organization
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Legal Business Name | TLC COMMUNITY LIVING
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 7750 HEAVENLY ARBOR
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City | SAN ANTONIO
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State | TX
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Zip | 78254-4439
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Country | US
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Telephone | 830-499-4211
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Fax | 830-499-4211
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Provider Business Mailing Address
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Address Line | 7750 HEAVENLY ARBOR
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City | SAN ANTONIO
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State | TX
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Zip | 78254-4439
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Country | US
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Telephone | 830-499-4211
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Fax | 830-499-4211
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | TRACY CAPOCY
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Credential |
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Telephone | 210-621-7207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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