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General NPI Number Information
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NPI Number | 1184468779
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Entity Type | Organization
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Legal Business Name | TAMMIRA, INC.
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Dates
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Enumeration Date | 06/19/2024
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 15446 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-7057
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Country | US
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Telephone | 213-632-8055
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Fax |
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Provider Business Mailing Address
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Address Line | 15446 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-7057
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Country | US
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Telephone | 213-632-8055
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. STACI DAO
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Credential |
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Telephone | 213-632-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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