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General NPI Number Information
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NPI Number | 1124770987
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Entity Type | Organization
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Legal Business Name | PRECIOUS KIDDOS MEDICAL DAYCARE LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 7450 CYPRESS GARDENS BLVD STE 7490
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City | WINTER HAVEN
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State | FL
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Zip | 33884-6200
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Country | US
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Telephone | 321-945-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 7450 CYPRESS GARDENS BLVD STE 7490
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City | WINTER HAVEN
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State | FL
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Zip | 33884-6200
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Country | US
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Telephone | 321-945-1170
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANITHE PIERRE BERNARD
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Credential | RN
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Telephone | 321-945-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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