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General NPI Number Information
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NPI Number | 1053502997
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Entity Type | Organization
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Legal Business Name | CARING PEDIATRICS, PA
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 4439 ROWAN ROAD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 727-853-2273
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Fax | 727-853-2277
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Provider Business Mailing Address
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Address Line | 4439 ROWAN ROAD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 727-853-2273
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Fax | 727-853-2277
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Authorized Official
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Title or Position | PRESIDENT
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Name | AUDREY URSULA JARA
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Credential | M.D.
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Telephone | 727-853-2273
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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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