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General NPI Number Information
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NPI Number | 1528836459
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Entity Type | Organization
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Legal Business Name | CARE TO CONNECT AUTISM CENTER LLC
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 4764 HARR CT
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City | COLUMBUS
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State | OH
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Zip | 43231-5926
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Country | US
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Telephone | 614-599-0571
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Fax |
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Provider Business Mailing Address
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Address Line | 4764 HARR CT
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City | COLUMBUS
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State | OH
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Zip | 43231-5926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAQUB MOHAMED
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Credential | RT(R)
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Telephone | 614-599-0571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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