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General NPI Number Information
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NPI Number | 1598994824
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Entity Type | Organization
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Legal Business Name | CHILDHOOD DEVELOPMENT SERVICES, INC.
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 1601 NE 25TH AVE STE 900
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City | OCALA
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State | FL
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Zip | 34470-8823
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Country | US
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Telephone | 352-629-0055
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Fax | 352-620-2850
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Provider Business Mailing Address
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Address Line | 1601 NE 25TH AVE STE 900
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City | OCALA
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State | FL
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Zip | 34470-8823
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Country | US
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Telephone | 352-629-0055
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Fax | 352-620-2850
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | CURT WAYNE BROMUNC
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Credential |
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Telephone | 352-629-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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