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General NPI Number Information
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NPI Number | 1619399037
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Entity Type | Organization
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Legal Business Name | YOUTH EDUCATION & SUPPORT INC.
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 13615 S DIXIE HWY #109-322
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City | MIAMI
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State | FL
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Zip | 33176-7254
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Country | US
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Telephone | 305-283-7039
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Fax | 305-234-7592
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Provider Business Mailing Address
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Address Line | 13615 S DIXIE HWY #109-322
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City | MIAMI
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State | FL
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Zip | 33176-7254
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Country | US
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Telephone | 305-283-7039
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Fax | 305-234-7592
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. ROSARIO C. LANDA
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Credential | M.S.
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Telephone | 305-283-7039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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