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General NPI Number Information
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NPI Number | 1184218836
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Entity Type | Organization
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Legal Business Name | STEP BY STEP CHILDRENS THERAPIES LLC
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 8300 NW 177TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-3645
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Country | US
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Telephone | 786-534-6142
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Fax | 786-542-0920
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Provider Business Mailing Address
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Address Line | 8300 NW 177TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-3645
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Country | US
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Telephone | 786-534-6142
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Fax | 786-542-0920
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISELY JIMENEZ
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Credential |
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Telephone | 786-534-6142
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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 |
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License Number State |
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