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General NPI Number Information
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NPI Number | 1578038659
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Entity Type | Organization
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Legal Business Name | TALIV SUPERLATIVE CARE INC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 5502 WASHINGTON ST APT 308
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8052
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Country | US
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Telephone | 347-500-9501
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Fax |
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Provider Business Mailing Address
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Address Line | 5502 WASHINGTON ST APT 308
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8052
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANCIS FLETCHER
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Credential |
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Telephone | 347-500-9501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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