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General NPI Number Information
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NPI Number | 1275215014
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Entity Type | Organization
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Legal Business Name | TOTS N TEENS PEDIATRICS
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 1650 REPUBLIC PKWY STE 120
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City | MESQUITE
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State | TX
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Zip | 75150-6920
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Country | US
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Telephone | 214-717-9040
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Fax | 972-526-5892
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Provider Business Mailing Address
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Address Line | 1650 REPUBLIC PKWY STE 120
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City | MESQUITE
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State | TX
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Zip | 75150-6920
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Country | US
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Telephone | 214-717-9040
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Fax | 972-526-5892
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Authorized Official
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Title or Position | C.E.O
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Name | DR. AHMAD ABO KAYASS
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Credential | MD
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Telephone | 214-717-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080S0012X
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Taxonomy Name | Pediatric Sleep Medicine Physician
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License Number |
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License Number State |
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