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General NPI Number Information
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NPI Number | 1063765261
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Entity Type | Organization
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Legal Business Name | TRANQUILITY BAY ADULT DAY CARE CORP
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 100360 OVERSEAS HWY STE 6 7 8
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City | KEY LARGO
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State | FL
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Zip | 33037-2586
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Country | US
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Telephone | 786-306-4502
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Fax | 305-418-9005
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Provider Business Mailing Address
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Address Line | 100360 OVERSEAS HWY STE 6 7 8
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City | KEY LARGO
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State | FL
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Zip | 33037-2586
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Country | US
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Telephone | 786-306-4502
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Fax | 305-418-9005
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORKA M GARCIA
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Credential |
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Telephone | 786-306-4502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 9217
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License Number State | FL
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