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General NPI Number Information
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NPI Number | 1437217916
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Entity Type | Organization
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Legal Business Name | KIDS FIRST LLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 1091 CABOOSE CT
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City | SPARKS
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State | NV
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Zip | 89434-5812
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Country | US
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Telephone | 775-331-1527
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Fax |
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Provider Business Mailing Address
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Address Line | 1091 CABOOSE CT
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City | SPARKS
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State | NV
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Zip | 89434-5812
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Country | US
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Telephone | 775-331-1527
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ROCH M SPALKA
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Credential |
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Telephone | 775-331-1527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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