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General NPI Number Information
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NPI Number | 1598998031
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Entity Type | Organization
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Legal Business Name | TLC BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 114 KIRTON TURN
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2422
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Country | US
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Telephone | 770-310-9893
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Fax | 770-487-2470
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Provider Business Mailing Address
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Address Line | 114 KIRTON TURN
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2422
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Country | US
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Telephone | 770-310-9893
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Fax | 770-487-2470
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Authorized Official
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Title or Position | OWNER/ MEMBER
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Name | MR. MICHAEL ARNOLD
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Credential | BCBA
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Telephone | 770-310-9893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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