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General NPI Number Information
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NPI Number | 1730036161
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Entity Type | Organization
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Legal Business Name | ULTRALIFE SUPPORT COORDINATION, INC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 8400 N UNIVERSITY DR STE 213
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City | TAMARAC
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State | FL
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Zip | 33321-1700
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Country | US
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Telephone | 954-254-6516
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Fax | 954-827-5932
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Provider Business Mailing Address
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Address Line | 8400 N UNIVERSITY DR STE 213
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City | TAMARAC
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State | FL
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Zip | 33321-1700
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Country | US
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Telephone | 954-254-6516
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Fax | 954-827-5932
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. KAREN A WILDS-SYLVAIN
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Credential | WILDS-SYLVAIN
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Telephone | 954-254-6516
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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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