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General NPI Number Information
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NPI Number | 1548559669
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Entity Type | Organization
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Legal Business Name | TLC AT HOME, INC.
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 134 SE SHURFINE DR
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City | ANKENY
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State | IA
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Zip | 50021-9114
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Country | US
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Telephone | 515-289-9021
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Fax | 515-289-2829
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Provider Business Mailing Address
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Address Line | PO BOX 1095
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City | ANKENY
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State | IA
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Zip | 50021-0973
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Country | US
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Telephone | 515-289-9021
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Fax | 515-289-2829
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KURT LEHMKUHL
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Credential |
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Telephone | 515-289-9021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | IA
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