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General NPI Number Information
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NPI Number | 1790543098
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Entity Type | Organization
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Legal Business Name | KIPP MIAMI INC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 3000 NW 110TH ST
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City | MIAMI
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State | FL
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Zip | 33167-3707
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Country | US
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Telephone | 786-822-7702
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Fax |
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Provider Business Mailing Address
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Address Line | 60 PARK PL STE 802
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City | NEWARK
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State | NJ
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Zip | 07102-5508
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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 | DIRECTOR OF ESE
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Name | JACLYN VALDES
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Credential |
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Telephone | 305-989-4454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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