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General NPI Number Information
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NPI Number | 1720968977
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Entity Type | Organization
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Legal Business Name | TLC TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/06/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 8457 DOYLE RD
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City | LAINGSBURG
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State | MI
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Zip | 48848-9649
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Country | US
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Telephone | 616-334-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 6169 N RIVER HWY
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City | GRAND LEDGE
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State | MI
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Zip | 48837-9308
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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 | RN MANAGER-CO OWNER
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Name | STACEY KRAUSE
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Credential | RN
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Telephone | 616-334-9987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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