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General NPI Number Information
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NPI Number | 1003006669
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Entity Type | Organization
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Legal Business Name | PEDIATRICS CARE CLINIC
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 5506 BROADWAY BLVD
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City | GARLAND
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State | TX
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Zip | 75043-3639
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Country | US
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Telephone | 972-303-0240
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Fax | 972-303-4343
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Provider Business Mailing Address
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Address Line | 5506 BROADWAY BLVD
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City | GARLAND
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State | TX
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Zip | 75043-3639
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Country | US
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Telephone | 972-303-0240
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Fax | 972-303-4343
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Authorized Official
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Title or Position | HEAD PHYSICIAN/OWNER
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Name | DR. LUBNA KAMAL
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Credential | M.D. PA
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Telephone | 972-303-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K2224
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License Number State | TX
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