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General NPI Number Information
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NPI Number | 1922670496
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Entity Type | Organization
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Legal Business Name | CHILDRENS REHAB LLC
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2727 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4406
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Country | US
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Telephone | 305-622-7575
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Fax | 305-622-9464
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Provider Business Mailing Address
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Address Line | 2727 NW 167TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-4406
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Country | US
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Telephone | 305-622-7575
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Fax | 305-622-9464
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Authorized Official
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Title or Position | OWNER
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Name | YOLEIDIS GONZALEZ
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Credential |
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Telephone | 786-499-5497
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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 |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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