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General NPI Number Information
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NPI Number | 1568044642
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Entity Type | Organization
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Legal Business Name | TRANSCENDENT LIVING AND CARE (TLC)
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 685 OAK STREET BUILDING 21 NUMBER 5
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City | BROCKTON, MA
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State | MA
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Zip | 02301
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Country | US
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Telephone | 781-777-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 462 WASHINGTON ST # 2546
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City | WOBURN
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State | MA
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Zip | 01801-2114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF HOME HEALTH OFFICER
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Name | MR. GERARD AUGUSTE
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Credential |
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Telephone | 781-777-5174
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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 |
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Taxonomy #2
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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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