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General NPI Number Information
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NPI Number | 1467293548
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Entity Type | Organization
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Legal Business Name | EXTENDED KIDS CARE, INC.
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3000 NW 101ST LN UNIT 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3930
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Country | US
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Telephone | 754-241-5305
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Fax | 754-241-5471
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Provider Business Mailing Address
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Address Line | 3000 NW 101ST LN UNIT 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3930
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Country | US
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Telephone | 786-603-9377
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACHEL HERRERA RODRIGUEZ
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Credential | APRN, FNP-C
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Telephone | 786-603-9377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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