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General NPI Number Information
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NPI Number | 1104704386
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Entity Type | Organization
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Legal Business Name | KOOL KIDS INC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1050 PLAZA DR STE I
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City | KISSIMMEE
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State | FL
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Zip | 34743-4058
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Country | US
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Telephone | 407-750-6149
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Fax | 407-530-1921
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Provider Business Mailing Address
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Address Line | 3051 MENORCA CT
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City | KISSIMMEE
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State | FL
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Zip | 34744-4124
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Country | US
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Telephone | 321-303-4819
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Fax | 407-530-1921
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LOURDES RIVERA GONZALEZ
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Credential |
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Telephone | 321-303-4819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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