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General NPI Number Information
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NPI Number | 1730749771
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Entity Type | Organization
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Legal Business Name | HAPPY KIDS THERAPY PEDIATRIC CENTER CORP
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 7872 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33144-2304
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Country | US
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Telephone | 786-360-5029
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Fax | 786-360-5379
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Provider Business Mailing Address
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Address Line | 7872 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33144-2304
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Country | US
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Telephone | 786-285-7103
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Fax |
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Authorized Official
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Title or Position | OT
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Name | GLENYS AURORA RODRIGUEZ
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Credential | OTR/L
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Telephone | 786-285-7103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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