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General NPI Number Information
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NPI Number | 1598034928
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Entity Type | Organization
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Legal Business Name | CHILD'S PLAY DEVELOPMENTAL SERVICES, L.L.C.
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 911 UNION ST
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City | CARY
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State | NC
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Zip | 27511-3755
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Country | US
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Telephone | 910-489-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 911 UNION ST
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City | CARY
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State | NC
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Zip | 27511-3755
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Country | US
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Telephone | 910-489-5755
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SARAH SHAW KAFES
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Credential | ITFS
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Telephone | 910-489-5755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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