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General NPI Number Information
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NPI Number | 1184844300
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Entity Type | Organization
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Legal Business Name | CHILDREN SERVICES OF FL, INC.
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 949 2ND AVE N
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City | NAPLES
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State | FL
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Zip | 34102-5808
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Country | US
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Telephone | 239-403-0400
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Fax | 239-261-9615
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Provider Business Mailing Address
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Address Line | 949 2ND AVE N
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City | NAPLES
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State | FL
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Zip | 34102-5808
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Country | US
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Telephone | 239-403-0400
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Fax | 239-261-9615
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BETTY TEJERINA
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Credential |
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Telephone | 239-403-0400
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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 | AHCA- 6014096
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License Number State | FL
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