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General NPI Number Information
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NPI Number | 1154449551
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Entity Type | Individual
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Provider Name | ELIZABETH ANN TILKA D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 936 S HOWARD AVE SUITE D
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City | TAMPA
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State | FL
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Zip | 33606-2421
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Country | US
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Telephone | 813-251-2052
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Fax | 813-251-9681
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Provider Business Mailing Address
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Address Line | 6604 CAMDEN BAY DR 302
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City | TAMPA
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State | FL
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Zip | 33635-9066
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Country | US
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Telephone | 813-335-9669
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9330
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License Number State | FL
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