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General NPI Number Information
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NPI Number | 1528916236
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Entity Type | Organization
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Legal Business Name | KREATIVE MINDS CORNER INC.
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 6950 SEAGRAPE TER
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2930
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Country | US
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Telephone | 305-484-3163
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Fax |
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Provider Business Mailing Address
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Address Line | 6950 SEAGRAPE TER
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2930
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | KAYTLEN CUBA
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Credential | M.S. CCC-SLP
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Telephone | 305-484-3163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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