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NPI 1699667469

NPI 1699667469 : TYKES & TEENS, INC : JENSEN BEACH, FL

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General NPI Number Information
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    NPI Number           |    1699667469
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    Entity Type          |    Organization 
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    Legal Business Name  |    TYKES & TEENS, INC 
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Dates
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    Enumeration Date     |    07/16/2025
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    3300 NE SUGARHILL AVE STE 3428 
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    City                 |    JENSEN BEACH
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    State                |    FL
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    Zip                  |    34957-3700
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    Country              |    US
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    Telephone            |    772-220-3439
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    Fax                  |    772-220-3484
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Provider Business Mailing Address
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    Address Line         |    900 SE OCEAN BLVD STE E340 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34994-2471
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    Country              |    US
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    Telephone            |    772-220-3439
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    Fax                  |    772-220-3484
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Authorized Official
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    Title or Position    |    BILLING & CREDENTIALING SPECIALIST
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    Name                 |     RACHEL  SWEIKERT 
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    Credential           |    
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    Telephone            |    772-220-3439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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