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General NPI Number Information
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NPI Number | 1831830108
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Entity Type | Organization
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Legal Business Name | KIDS HOPE ACADEMY INC
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 04/02/2022
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Provider Practice Location Address
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Address Line | 1515 NW 167TH ST
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City | MIAMI
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State | FL
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Zip | 33169-5100
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Country | US
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Telephone | 305-400-4693
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 NW 167TH ST
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City | MIAMI
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State | FL
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Zip | 33169-5100
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Country | US
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Telephone | 305-400-4693
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. GENARA ZUMILA RAFFO
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Credential |
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Telephone | 305-600-9046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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