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General NPI Number Information
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NPI Number | 1366861569
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Entity Type | Organization
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Legal Business Name | 4KIDS OF SOUTH FLORIDA, INC.
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 2717 W CYPRESS CREEK RD
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City | FT LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 954-979-7911
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 W CYPRESS CREEK RD
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-1756
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Country | US
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Telephone | 954-979-7911
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDVARDO ARCHER
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Credential |
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Telephone | 561-707-6150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care 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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