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General NPI Number Information
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NPI Number | 1063102762
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Entity Type | Organization
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Legal Business Name | HIMA JYOTHI PEDIATRICS PLLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 11547 INDEPENDENCE PKWY # 500
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City | FRISCO
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State | TX
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Zip | 75035-4677
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Country | US
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Telephone | 972-597-0413
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Fax |
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Provider Business Mailing Address
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Address Line | 11547 INDEPENDENCE PKWY # 500
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City | FRISCO
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State | TX
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Zip | 75035-4677
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Country | US
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Telephone | 972-597-0413
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Fax |
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | HIMA BINDU JYOTHI
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Credential | MD
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Telephone | 361-522-0992
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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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