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NPI 1609288109

NPI 1609288109 : WEE KARE EDUCATIONAL SERVICES LLC : BEREA, KY

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General NPI Number Information
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    NPI Number           |    1609288109
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    Entity Type          |    Organization 
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    Legal Business Name  |    WEE KARE EDUCATIONAL SERVICES LLC 
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Dates
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    Enumeration Date     |    06/02/2014
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    Last Update Date     |    06/02/2014
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Provider Practice Location Address
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    Address Line         |    12121 N WILDERNESS RD 
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    City                 |    BEREA
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    State                |    KY
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    Zip                  |    40403-8457
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    Country              |    US
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    Telephone            |    859-302-3655
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    Fax                  |    606-256-3131
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Provider Business Mailing Address
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    Address Line         |    12121 N WILDERNESS RD 
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    City                 |    BEREA
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    State                |    KY
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    Zip                  |    40403-8457
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    Country              |    US
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    Telephone            |    859-302-3655
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    Fax                  |    606-256-3131
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    MRS. JOANN P. CROUCHER 
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    Credential           |    D. I.
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    Telephone            |    859-302-3655
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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       |    0836428
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    License Number State |    KY
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