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General NPI Number Information
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NPI Number | 1538204565
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Entity Type | Organization
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Legal Business Name | CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 9020 UNIVERSITY PKWY
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City | PENSACOLA
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State | FL
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Zip | 32514-5524
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Country | US
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Telephone | 850-475-0555
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Fax | 850-475-0650
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Provider Business Mailing Address
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Address Line | 9020 UNIVERSITY PKWY
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City | PENSACOLA
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State | FL
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Zip | 32514-5524
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Country | US
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Telephone | 850-475-0555
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Fax | 850-475-0650
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CYNTHIA DENISE CAMERON
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Credential | HEALTH CARE ADMIN
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Telephone | 850-475-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 2278P3900X
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Taxonomy Name | Neonatal/Pediatric Certified Respiratory Therapist
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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 | 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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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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