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General NPI Number Information
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NPI Number | 1154140416
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Entity Type | Individual
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Provider Name | CHILANDE TASSY
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Gender | Female
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1304 SE 2ND AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-6708
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Country | US
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Telephone | 786-916-0884
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Fax | 954-827-2201
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Provider Business Mailing Address
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Address Line | 361 NW 38TH PL
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-2744
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Country | US
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Telephone | 786-916-0884
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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