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General NPI Number Information
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NPI Number | 1083906259
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Entity Type | Organization
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Legal Business Name | EMILY C MOISES DAY TRAINING CENTER
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 5643 NW 36TH ST
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5854
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Country | US
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Telephone | 305-888-8711
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Fax | 305-888-4947
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Provider Business Mailing Address
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Address Line | 5643 NW 36TH ST
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5854
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Country | US
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Telephone | 305-888-8711
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Fax | 305-888-4947
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NIEVES MOISES
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Credential | MSW
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Telephone | 305-888-8711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 687612998
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 687612998
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 687612996
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 687612996
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License Number State | FL
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