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General NPI Number Information
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NPI Number | 1649116302
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Entity Type | Individual
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Provider Name | TAISHA TATE
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Gender | Female
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 6114 DELANCEY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1004
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Country | US
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Telephone | 443-466-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 13 PEMBROKE LN
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City | NEW CASTLE
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State | DE
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Zip | 19720-3806
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Country | US
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Telephone | 443-466-1315
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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 | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State | PA
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