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General NPI Number Information
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NPI Number | 1659225308
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Entity Type | Organization
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Legal Business Name | STARFISH NEUROSPICY THERAPY BY KAEGAN, LLC.
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 5701 SUNSET DR STE NO.353
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5348
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Country | US
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Telephone | 786-303-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 SUNSET DR STE NO.353
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5348
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Country | US
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Telephone | 786-303-8540
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MRS. KAEGAN BLOMSETH
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Credential |
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Telephone | 786-662-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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