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General NPI Number Information
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NPI Number | 1770717035
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Entity Type | Organization
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Legal Business Name | JIBS TRAINING CENTER
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 20961 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33179-1711
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Country | US
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Telephone | 305-370-9099
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Fax |
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Provider Business Mailing Address
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Address Line | 20961 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33179-1711
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Country | US
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Telephone | 305-370-9099
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IMENE SEIDE
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Credential | MSN
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Telephone | 305-370-9099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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