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General NPI Number Information
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NPI Number | 1003946377
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Entity Type | Organization
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Legal Business Name | KIDS FIRST PEDIATRICS, PA
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 2200 VILLAGE PKWY SUITE 130
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-7507
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Country | US
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Telephone | 972-317-6000
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Fax | 972-317-6011
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Provider Business Mailing Address
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Address Line | 2200 VILLAGE PKWY
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-7146
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Country | US
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Telephone | 972-317-6000
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Fax | 972-317-6011
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MRS. LISA K HOBBS
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Credential |
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Telephone | 972-317-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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