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General NPI Number Information
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NPI Number | 1972447860
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Entity Type | Organization
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Legal Business Name | TIKI HARMONY GROUP HOME
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 5807 CARUSO FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77088-2410
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Country | US
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Telephone | 281-623-9992
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Fax | 281-623-9992
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Provider Business Mailing Address
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Address Line | 5807 CARUSO FOREST DR
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City | HOUSTON
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State | TX
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Zip | 77088-2410
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Country | US
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Telephone | 281-623-9992
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Fax | 281-623-9992
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. CHAQUITA M JACKSON
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Credential | LMSW/RN
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Telephone | 281-623-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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