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General NPI Number Information
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NPI Number | 1457021313
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Entity Type | Organization
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Legal Business Name | HAPPY ISLAND PPEC, LLC
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 755 NE 130TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-7526
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Country | US
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Telephone | 786-508-7897
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Fax |
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Provider Business Mailing Address
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Address Line | 755 NE 130TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-7526
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Country | US
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Telephone | 786-508-7897
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANET PERNIA
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Credential | R.N.
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Telephone | 786-508-7897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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