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General NPI Number Information
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NPI Number | 1528496056
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Entity Type | Organization
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Legal Business Name | ANGELS CREATIVE CHILDRENS THERAPY LLC
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 4417 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32803-5219
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Country | US
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Telephone | 407-757-0785
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Fax | 407-757-0786
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Provider Business Mailing Address
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Address Line | 4417 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32803-5219
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Country | US
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Telephone | 407-757-0785
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Fax | 407-757-0786
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARIA D NAVARRO
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Credential |
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Telephone | 407-757-0785
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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