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General NPI Number Information
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NPI Number | 1427715648
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Entity Type | Organization
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Legal Business Name | JEWEL LEARNING, LLC
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 17008 SW 39TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4614
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Country | US
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Telephone | 954-418-2036
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 N FLAMINGO RD # 169
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-3501
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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 | DIRECTOR
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Name | CANDACE CLARK
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Credential |
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Telephone | 954-418-2036
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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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