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General NPI Number Information
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NPI Number | 1942515481
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Entity Type | Organization
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Legal Business Name | KINDER KIDS LLC
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 958 MILLBROOK AVE SUITE 8
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City | AIKEN
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State | SC
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Zip | 29803-0603
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Country | US
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Telephone | 803-226-0131
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Fax | 803-642-2665
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Provider Business Mailing Address
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Address Line | 958 MILLBROOK AVE SUITE 8
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City | AIKEN
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State | SC
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Zip | 29803-0603
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Country | US
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Telephone | 803-226-0131
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Fax | 803-642-2665
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KENNIETH DOUGLAS ALLEN
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Credential |
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Telephone | 803-226-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 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 #3
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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