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General NPI Number Information
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NPI Number | 1134621949
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Entity Type | Organization
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Legal Business Name | LLC TM'S CARE ENTERPRISE
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 03/07/2018
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Provider Practice Location Address
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Address Line | 9113-9117 TAFT STREET
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-744-9389
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Fax |
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Provider Business Mailing Address
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Address Line | 9113-9117 TAFT STREET
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-744-9389
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Fax |
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Authorized Official
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Title or Position | OPERATOR
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Name | MRS. TAMARA PENARANDA
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Credential |
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Telephone | 954-744-9389
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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 | 9413
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License Number State | FL
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