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General NPI Number Information
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NPI Number | 1336545169
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Entity Type | Organization
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Legal Business Name | LEAPS N BOUNDZ
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 5433 BEETHOVEN ST
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City | LOS ANGELES
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State | CA
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Zip | 90066-7016
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Country | US
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Telephone | 310-821-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 CARDIFF AVE 304
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City | LOS ANGELES
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State | CA
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Zip | 90034-7800
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MS. JOCLYNN BENJAMIN
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Credential |
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Telephone | 310-821-0963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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