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General NPI Number Information
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NPI Number | 1538786173
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Entity Type | Organization
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Legal Business Name | MAGICAL DREAMS ACADEMY LLC
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 966 SW 82ND AVE
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City | MIAMI
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State | FL
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Zip | 33144-4271
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Country | US
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Telephone | 786-315-3569
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Fax |
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Provider Business Mailing Address
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Address Line | 966 SW 82ND AVE
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City | MIAMI
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State | FL
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Zip | 33144-4271
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Country | US
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Telephone | 786-315-3569
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | NORGES RODRIGUEZ
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Credential |
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Telephone | 786-315-3569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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