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General NPI Number Information
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NPI Number | 1184680696
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Entity Type | Organization
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Legal Business Name | ABILENE CHILDREN'S MEDICAL ASSOCIATION, LLP
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 2150 CEDAR ST
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City | ABILENE
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State | TX
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Zip | 79601-2332
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Country | US
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Telephone | 325-677-6067
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Fax | 325-677-6233
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Provider Business Mailing Address
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Address Line | 2150 CEDAR ST
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City | ABILENE
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State | TX
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Zip | 79601-2332
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Country | US
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Telephone | 325-677-6067
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Fax | 325-677-6233
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | DR. PAUL J MASLANKA SR.
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Credential | MD
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Telephone | 325-677-6067
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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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