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General NPI Number Information
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NPI Number | 1487210944
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Entity Type | Organization
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Legal Business Name | LITTLE ANGELS PEDIATRIC EXTENDED CARE LLC
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Dates
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Enumeration Date | 05/10/2019
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 222 NEIGHBORHOOD MARKET RD STE 102
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City | ORLANDO
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State | FL
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Zip | 32825-3525
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Country | US
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Telephone | 407-403-5822
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Fax | 407-403-5818
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Provider Business Mailing Address
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Address Line | 1400 W STATE ROAD 434 STE 1000
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City | LONGWOOD
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State | FL
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Zip | 32750-3817
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Country | US
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Telephone | 407-403-5822
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Fax | 407-403-5818
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Authorized Official
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Title or Position | COO
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Name | DANEIQUA HAMILTON
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Credential |
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Telephone | 407-403-5822
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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