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General NPI Number Information
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NPI Number | 1013488386
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Entity Type | Organization
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Legal Business Name | CHILDREN'S ADVANCEMENT SERVICES LLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 10870 SW 113TH PL FL 2
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City | MIAMI
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State | FL
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Zip | 33176-3227
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Country | US
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Telephone | 305-846-3946
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Fax |
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Provider Business Mailing Address
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Address Line | 10870 SW 113TH PL FL 2
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City | MIAMI
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State | FL
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Zip | 33176-3227
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Country | US
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Telephone | 305-846-3946
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MRS. ELIZABETH MEDEROS
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Credential |
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Telephone | 305-846-3946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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