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General NPI Number Information
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NPI Number | 1780816280
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Entity Type | Organization
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Legal Business Name | TIKA'S ALF, INC
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 14822 GARDEN DR
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City | MIAMI
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State | FL
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Zip | 33168-4927
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Country | US
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Telephone | 305-681-8382
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Fax | 786-359-4414
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Provider Business Mailing Address
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Address Line | 14822 GARDEN DR
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City | MIAMI
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State | FL
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Zip | 33168-4927
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Country | US
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Telephone | 305-681-8382
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Fax | 786-359-4414
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Authorized Official
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Title or Position | OWNER /ADMINISTRATOR
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Name | CAROLLE FOSTER
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Credential |
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Telephone | 786-216-5033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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