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General NPI Number Information
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NPI Number | 1396085841
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Entity Type | Organization
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Legal Business Name | NINOS DEL CIELO, INC.
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 1405 HOOPER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90021-2730
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Country | US
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Telephone | 213-359-9980
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Fax | 213-746-6474
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Provider Business Mailing Address
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Address Line | 1405 HOOPER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90021-2730
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Country | US
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Telephone | 213-359-9980
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Fax | 213-746-6474
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MRS. ELIZABETH VILLANUEVA
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Credential |
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Telephone | 213-359-9980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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