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General NPI Number Information
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NPI Number | 1639525843
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Entity Type | Organization
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Legal Business Name | SENSORYABLED KIDS LLC
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 3501 HOLLAND RD 106-107
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4056
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Country | US
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Telephone | 757-938-6939
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 HOLLAND RD 106-107
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4056
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Country | US
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Telephone | 757-938-6939
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. TASHIA SUE SMITH
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Credential | MSW
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Telephone | 757-650-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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