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General NPI Number Information
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NPI Number | 1538752225
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Entity Type | Organization
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Legal Business Name | INDEPENDENT KIDS INC
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Dates
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Enumeration Date | 02/15/2021
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 650 NE 22ND TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-4709
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Country | US
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Telephone | 954-478-6302
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Fax | 305-230-2718
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Provider Business Mailing Address
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Address Line | 735 CUMBERLAND TER
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City | DAVIE
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State | FL
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Zip | 33325-1233
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Country | US
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Telephone | 954-478-6302
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Fax | 305-230-2718
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAHTAB SHALBAFIAN
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Credential | OTR/L
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Telephone | 954-478-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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