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General NPI Number Information
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NPI Number | 1982941233
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Entity Type | Organization
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Legal Business Name | ST ALBAN'S DAY NURSERY INC
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 3465 BROOKER ST
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City | MIAMI
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State | FL
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Zip | 33133-4867
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Country | US
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Telephone | 305-443-1234
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Fax | 305-443-7913
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Provider Business Mailing Address
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Address Line | 3465 BROOKER ST
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City | MIAMI
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State | FL
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Zip | 33133-4867
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Country | US
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Telephone | 305-443-1234
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Fax | 305-443-7913
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. SABRINA TASSY-LEWIS
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Credential | PSY.D
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Telephone | 305-443-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | PY8446
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License Number State | FL
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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 | PY8446
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License Number State | FL
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