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General NPI Number Information
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NPI Number | 1346104858
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Entity Type | Organization
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Legal Business Name | TIARACHRISTA VILLAS
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 2406 W 171ST ST
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City | TORRANCE
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State | CA
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Zip | 90504-2904
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Country | US
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Telephone | 310-408-6228
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Fax |
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Provider Business Mailing Address
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Address Line | 17004 ARDATH AVE
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City | TORRANCE
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State | CA
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Zip | 90504-2724
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Country | US
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Telephone | 310-408-6228
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ARLENE FELICIANO
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Credential |
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Telephone | 310-408-6228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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