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General NPI Number Information
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NPI Number | 1114046984
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Entity Type | Organization
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Legal Business Name | CHILDREN LEARNING AND DEVELOPMENT CENTER
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | AVE. ROBERTO CLEMENTE BLK 27-16 VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00984
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Country | US
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Telephone | 787-675-2444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2963
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City | CAROLINA
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State | PR
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Zip | 00984-2963
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Country | US
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Telephone | 787-608-6800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIA V VALENTIN
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Credential | MBA
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Telephone | 787-675-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A75-42
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License Number State | PR
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