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General NPI Number Information
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NPI Number | 1881528016
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Entity Type | Individual
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Provider Name | MRS. TIFFANY COATS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 4784 NW 167TH ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6427
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Country | US
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Telephone | 305-505-7842
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Fax |
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Provider Business Mailing Address
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Address Line | 17130 NW 32ND AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4303
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Country | US
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Telephone | 305-505-7842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | SO-11-1586-GH
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License Number State | FL
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