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General NPI Number Information
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NPI Number | 1144798943
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Entity Type | Organization
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Legal Business Name | NATURAL CHOICE PEDIATRICS, PLLC
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Dates
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Enumeration Date | 11/09/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 3535 VICTORY GROUP WAY STE 305
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City | FRISCO
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State | TX
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Zip | 75034-6722
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Country | US
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Telephone | 903-402-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 3293 ROUND TREE LN
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City | FRISCO
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State | TX
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Zip | 75034-4455
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Country | US
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Telephone | 903-402-5155
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. CHRISTIE LYNNE POTTER
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Credential | NP
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Telephone | 903-402-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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