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General NPI Number Information
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NPI Number | 1225144728
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Entity Type | Organization
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Legal Business Name | NEW PEDIATRIC ASSOCIATES LLC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 7863 BROADWAY SUITE 140
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5553
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Country | US
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Telephone | 219-795-1660
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Fax | 219-795-1630
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Provider Business Mailing Address
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Address Line | 7863 BROADWAY SUITE 140
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5553
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Country | US
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Telephone | 219-795-1660
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Fax | 219-795-1630
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZUHAIR ALSAKAJI
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Credential |
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Telephone | 219-795-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 01046051A
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License Number State | IN
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