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NPI 1780498568

NPI 1780498568 : LITTLE STEPS OT : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1780498568
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    Entity Type          |    Organization 
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    Legal Business Name  |    LITTLE STEPS OT 
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Dates
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    Enumeration Date     |    02/03/2025
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    Last Update Date     |    02/03/2025
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Provider Practice Location Address
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    Address Line         |    2110 N 14TH AVE 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33020-2515
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    Country              |    US
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    Telephone            |    718-427-1326
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2110 N 14TH AVE 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33020-2515
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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                 |     PEARL  NATANEL 
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    Credential           |    
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    Telephone            |    718-427-1326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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