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General NPI Number Information
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NPI Number | 1619534955
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Entity Type | Organization
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Legal Business Name | MILIEU CHILDREN'S CENTER, LLC
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 6330 MANOR LN STE 202
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4953
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Country | US
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Telephone | 305-763-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 6330 MANOR LN STE 202
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4953
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Country | US
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Telephone | 305-926-1984
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIELLE SANTANA AYO
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Credential | M.ED., CCC-SLP
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Telephone | 305-926-1984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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