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General NPI Number Information
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NPI Number | 1811003320
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Entity Type | Organization
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Legal Business Name | TLC MEDICALOXYGEN & HOSPITAL EQUIPMENT, INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 830 FAIRVIEW AVE SUITE B-7
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4911
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Country | US
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Telephone | 615-778-9191
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Fax | 615-778-9199
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Provider Business Mailing Address
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Address Line | 361 MALLORY STATION RD SUITE 108
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City | FRANKLIN
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State | TN
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Zip | 37067-2832
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Country | US
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Telephone | 615-778-9191
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Fax | 615-778-9199
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. MONTY J LANKFORD
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Credential |
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Telephone | 615-778-9199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 422
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License Number State | TN
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