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General NPI Number Information
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NPI Number | 1184371882
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Entity Type | Organization
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Legal Business Name | THINK AND WONDER CORP
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 1533 KENNEDY BLVD
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City | LAKELAND
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State | FL
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Zip | 33810-3853
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Country | US
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Telephone | 813-434-0294
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 CHABETT AVE
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City | LAKELAND
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State | FL
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Zip | 33810-0666
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Country | US
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Telephone | 813-434-0294
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MILAGROSA PORTALES
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Credential |
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Telephone | 786-856-5994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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