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General NPI Number Information
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NPI Number | 1841783156
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Entity Type | Organization
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Legal Business Name | KID'Z WORLD ADVANCE INC
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 2400 WROTHAM TER
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 786-803-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 WROTHAM TER
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City | WELLINGTON
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State | FL
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Zip | 33414-7705
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Country | US
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Telephone | 786-803-6989
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA ALFARO
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Credential |
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Telephone | 786-803-6998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | FL
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