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General NPI Number Information
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NPI Number | 1912508722
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Entity Type | Organization
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Legal Business Name | TLC HEALTHCARE LLC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 626 W MAIN ST
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City | ANAMOSA
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State | IA
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Zip | 52205-1634
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Country | US
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Telephone | 319-251-0267
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Fax | 949-561-4267
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Provider Business Mailing Address
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Address Line | 626 W MAIN ST
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City | ANAMOSA
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State | IA
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Zip | 52205-1634
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Country | US
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Telephone | 319-251-0267
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Fax | 949-561-4267
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TARA MESCHER
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Credential | ARNP
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Telephone | 319-251-0267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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