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General NPI Number Information
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NPI Number | 1760278873
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Entity Type | Organization
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Legal Business Name | HAPPY ENCHILADA LLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 695 VERBENIA DR
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-2545
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Country | US
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Telephone | 270-871-5661
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 372492
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-0492
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN SUMMER JONES
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Credential | MSOT, OTR/L
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Telephone | 270-871-5661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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