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General NPI Number Information
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NPI Number | 1306838750
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Entity Type | Organization
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Legal Business Name | TYS HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10411 SW 108TH AVE #D263
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City | MIAMI
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State | FL
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Zip | 33176-8142
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Country | US
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Telephone | 786-316-5118
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Fax | 305-412-0933
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Provider Business Mailing Address
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Address Line | 10411 SW 108TH AVE #D263
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City | MIAMI
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State | FL
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Zip | 33176-8142
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Country | US
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Telephone | 786-316-5118
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Fax | 305-412-0933
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TANIA SOMOANO
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Credential | OTR/L
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Telephone | 786-316-5118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 568816-4
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License Number State | FL
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