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General NPI Number Information
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NPI Number | 1245416106
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Entity Type | Organization
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Legal Business Name | GENERATION NEXT PEDIATRICS PA
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 2131 N COLLINS ST # 433-758
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City | ARLINGTON
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State | TX
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Zip | 76011-2849
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Country | US
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Telephone | 817-801-1416
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 N COLLINS ST # 433-758
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City | ARLINGTON
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State | TX
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Zip | 76011-2849
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Country | US
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Telephone | 817-801-1416
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONALD W FOX
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Credential | DO
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Telephone | 817-801-1416
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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 | E0008
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License Number State | TX
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