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General NPI Number Information
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NPI Number | 1265846893
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Entity Type | Organization
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Legal Business Name | FRISCO AND PLANO CHILDREN DOCTOR
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 6833 COIT RD STE 102
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City | PLANO
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State | TX
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Zip | 75024-5400
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Country | US
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Telephone | 972-268-7068
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Fax | 972-767-3058
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Provider Business Mailing Address
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Address Line | 6833 COIT RD STE 102
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City | PLANO
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State | TX
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Zip | 75024-5400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LI LI
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Credential | MD
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Telephone | 301-880-4289
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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 | N9464
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License Number State | TX
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