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General NPI Number Information
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NPI Number | 1093346405
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Entity Type | Organization
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Legal Business Name | OLI AND ALI FAMILY SERVICES INC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2939 SE BELLA RD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34984-6333
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Country | US
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Telephone | 561-313-9413
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Fax |
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Provider Business Mailing Address
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Address Line | 2939 SE BELLA RD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34984-6333
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Country | US
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Telephone | 561-313-9413
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CASSANDRA PIERRE LOUIS
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Credential |
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Telephone | 561-313-9413
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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