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General NPI Number Information
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NPI Number | 1497295703
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Entity Type | Organization
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Legal Business Name | TLC PERSONAL MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 2440 TEXAS PKWY SUITE 390H
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City | MISSOURI CITY
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State | TX
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Zip | 77489-4000
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Country | US
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Telephone | 281-650-6562
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Fax | 888-235-9693
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Provider Business Mailing Address
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Address Line | 2440 TEXAS PKWY SUITE 390H
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City | MISSOURI CITY
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State | TX
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Zip | 77489-4000
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Country | US
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Telephone | 281-650-6562
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Fax | 888-235-9693
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FELICIA RENA LEWIS
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Credential | LVN
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Telephone | 281-650-6562
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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 | 178323
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License Number State | TX
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