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General NPI Number Information
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NPI Number | 1598033607
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Entity Type | Organization
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Legal Business Name | CELEBRITY KIDS CORP.
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Dates
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Enumeration Date | 12/03/2011
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Last Update Date | 12/03/2011
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Provider Practice Location Address
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Address Line | 13218 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4133
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Country | US
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Telephone | 786-277-2386
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Fax | 954-443-4573
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Provider Business Mailing Address
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Address Line | 13218 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4133
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Country | US
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Telephone | 786-277-2386
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Fax | 954-443-4573
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BERNIE BIEN-AIME
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Credential | ED.S
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Telephone | 786-277-2386
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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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