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General NPI Number Information
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NPI Number | 1013479682
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Entity Type | Organization
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Legal Business Name | NEW HEIGHTS PEDIATRICS, LLC
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 04/03/2019
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Provider Practice Location Address
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Address Line | 8117 KINGS HWY
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City | KING GEORGE
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State | VA
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Zip | 22485-7068
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Country | US
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Telephone | 540-441-0640
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Fax |
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Provider Business Mailing Address
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Address Line | 8117 KINGS HWY
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City | KING GEORGE
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State | VA
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Zip | 22485-7068
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Country | US
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Telephone | 540-441-0640
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Fax |
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Authorized Official
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Title or Position | MD
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Name | AYANNA J MCCRAY
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Credential | MD
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Telephone | 540-441-0640
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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 |
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License Number State |
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