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NPI 1962984344

NPI 1962984344 : ANGELS CARE & LEARNING ACADEMY PPEC, INC : MIAMI SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1962984344
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGELS CARE & LEARNING ACADEMY PPEC, INC 
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Dates
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    Enumeration Date     |    09/03/2018
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    Last Update Date     |    09/03/2018
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Provider Practice Location Address
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    Address Line         |    100 WESTWARD DR 
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    City                 |    MIAMI SPRINGS
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    State                |    FL
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    Zip                  |    33166-5258
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    Country              |    US
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    Telephone            |    786-340-4888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 WESTWARD DR 
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    City                 |    MIAMI SPRINGS
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    State                |    FL
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    Zip                  |    33166-5258
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    Country              |    US
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    Telephone            |    786-340-4888
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     NOLIA  DIAZ 
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    Credential           |    
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    Telephone            |    786-340-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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