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General NPI Number Information
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NPI Number | 1326809138
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Entity Type | Organization
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Legal Business Name | LET IT SHINE LEARNING CENTER LLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 1082 PLAZA DR
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City | KISSIMMEE
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State | FL
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Zip | 34743-4069
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Country | US
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Telephone | 407-334-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 1082 PLAZA DR
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City | KISSIMMEE
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State | FL
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Zip | 34743-4069
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Country | US
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Telephone | 407-334-5274
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAELFA RODRIGUEZ
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Credential |
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Telephone | 407-334-5274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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