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General NPI Number Information
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NPI Number | 1659457562
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Entity Type | Organization
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Legal Business Name | ADRIANA TAFUR SERVICES INC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 2020 NE 163RD ST SUITE 207
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4927
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Country | US
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Telephone | 305-949-6461
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Fax | 305-945-8054
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Provider Business Mailing Address
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Address Line | 2020 NE 163RD ST SUITE 207
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4927
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Country | US
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Telephone | 305-949-6461
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Fax | 305-945-8054
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ADRIANA D TILLEY
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Credential | OTR/L
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Telephone | 954-549-3765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 11746
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | OT11746
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License Number State | FL
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