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General NPI Number Information
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NPI Number | 1336752781
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Entity Type | Organization
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Legal Business Name | NO JUNK FOOD ZONE LLC
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Dates
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Enumeration Date | 08/26/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 37 NW 47TH TER
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City | MIAMI
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State | FL
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Zip | 33127-2411
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Country | US
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Telephone | 786-285-6895
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Fax |
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Provider Business Mailing Address
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Address Line | 800 MAINE AVE SW STE 200
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City | WASHINGTON
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State | DC
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Zip | 20024-2811
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Country | US
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Telephone | 202-660-1460
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROSANE ST PAUL
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Credential |
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Telephone | 202-660-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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