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General NPI Number Information
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NPI Number | 1508541350
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Entity Type | Organization
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Legal Business Name | TLC & CARE LLC
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | 140 SHERMAN ST FL 2
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-759-8077
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Fax |
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Provider Business Mailing Address
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Address Line | 140 SHERMAN ST FL 2
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-759-8077
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF NURSING PRACTICE
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Name | TODD CLARK
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Credential | DNP
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Telephone | 203-868-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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