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General NPI Number Information
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NPI Number | 1851064182
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Entity Type | Organization
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Legal Business Name | NIECAT FOUNDATION OF EXCELLENCE INCORPORATED
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 16800 NW 17TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4904
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Country | US
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Telephone | 833-230-9366
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Fax |
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Provider Business Mailing Address
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Address Line | 14421 NW 13TH RD
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City | MIAMI
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State | FL
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Zip | 33167-1110
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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 | CEO
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Name | MIRIAM C SULLIVAN
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Credential |
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Telephone | 305-761-5135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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