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General NPI Number Information
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NPI Number | 1114141157
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Entity Type | Organization
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Legal Business Name | WINDHAVEN PEDIATRICS, LLP
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6300 W PARKER RD SUITE 324
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City | PLANO
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State | TX
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Zip | 75093-8100
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Country | US
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Telephone | 972-403-5437
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Fax | 972-403-5438
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Provider Business Mailing Address
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Address Line | 6300 W PARKER RD SUITE 324
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City | PLANO
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State | TX
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Zip | 75093-8100
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Country | US
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Telephone | 972-403-5437
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Fax | 972-403-5438
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MONICA HERRERA
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Credential | M.D.
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Telephone | 972-403-5437
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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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