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General NPI Number Information
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NPI Number | 1295044048
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Entity Type | Organization
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Legal Business Name | KIDS FIRST PEDIATRIC CARE, PA
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 4343 LYNX PAW TRL
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City | VALRICO
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State | FL
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Zip | 33596-7426
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Country | US
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Telephone | 813-681-3800
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Fax | 813-681-3883
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Provider Business Mailing Address
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Address Line | 4343 LYNX PAW TRL
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City | VALRICO
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State | FL
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Zip | 33596-7426
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Country | US
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Telephone | 813-681-3800
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Fax | 813-681-3883
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Authorized Official
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Title or Position | PRESIDENT
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Name | TONI ALEXIS RICHARDS-ROWLEY
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Credential | M.D.
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Telephone | 813-681-3800
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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 | ME 85173
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License Number State | FL
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