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General NPI Number Information
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NPI Number | 1881873354
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Entity Type | Organization
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Legal Business Name | MIRACLES IN MOTION, INC.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1911 U.S. HWY 301 N STE 440
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City | TAMPA
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State | FL
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Zip | 33619
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Country | US
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Telephone | 813-932-0400
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Fax | 813-932-0446
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Provider Business Mailing Address
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Address Line | 1911 U.S. HWY 301 N STE 440
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City | TAMPA
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State | FL
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Zip | 33619
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Country | US
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Telephone | 813-932-0400
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Fax | 813-932-0446
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | MRS. JUWANNA LAKESHA ZIER
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Credential |
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Telephone | 813-932-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 692792196
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 692792198
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License Number State | FL
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