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General NPI Number Information
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NPI Number | 1134311640
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Entity Type | Organization
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Legal Business Name | VOLUSIA PEDIATRICS, LLC
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 317 SOUTH DIXIE FREEWAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-7158
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Country | US
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Telephone | 386-424-1414
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Fax | 386-424-9130
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Provider Business Mailing Address
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Address Line | 317 SOUTH DIXIE FREEWAY
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-7158
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Country | US
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Telephone | 386-424-1414
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Fax | 386-424-9130
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | CRISTINA GARCIA-PILCHICK
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Credential | MD
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Telephone | 386-424-1414
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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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