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General NPI Number Information
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NPI Number | 1740852367
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Entity Type | Organization
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Legal Business Name | TEHILLA HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 07/13/2021
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4350 NW 34TH CT
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5755
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Country | US
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Telephone | 754-302-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 4350 NW 34TH CT
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5755
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Country | US
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Telephone | 754-302-5576
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Fax |
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Authorized Official
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Title or Position | OWNER/CFO
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Name | MIRTCHELLAU JEAN-BAPTISTE
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Credential |
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Telephone | 954-520-1009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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