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General NPI Number Information
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NPI Number | 1134297757
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Entity Type | Organization
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Legal Business Name | PREFERRED PEDIATRICS, INCORPORATED
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 5500 RIDGE RD SUITE 237
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City | PARMA
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State | OH
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Zip | 44129-2394
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Country | US
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Telephone | 440-888-3501
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Fax | 440-888-3502
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Provider Business Mailing Address
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Address Line | 5500 RIDGE RD SUITE 237
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City | PARMA
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State | OH
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Zip | 44129-2394
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Country | US
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Telephone | 440-888-3501
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Fax | 440-888-3502
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT P. STEPHENS
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Credential | M.D.
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Telephone | 440-888-3501
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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 | OH
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