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General NPI Number Information
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NPI Number | 1104642628
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Entity Type | Organization
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Legal Business Name | NEXT STEP CHILD SERVICES
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 13995 SW 150TH CT
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City | MIAMI
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State | FL
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Zip | 33196-5038
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Country | US
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Telephone | 786-830-9519
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Fax |
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Provider Business Mailing Address
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Address Line | 1182 NW 134TH PL
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City | MIAMI
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State | FL
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Zip | 33182-2279
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Country | US
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Telephone | 786-763-5493
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Fax |
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Authorized Official
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Title or Position | OWNER AND MANAGER
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Name | PAVEL MANZANARES ANGULO
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Credential |
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Telephone | 786-830-9519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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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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