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General NPI Number Information
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NPI Number | 1295945798
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Entity Type | Organization
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Legal Business Name | RIGHT FROM THE START PEDIATRICS
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 9423 HOLY CROSS LN SUITE 111
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City | BREESE
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State | IL
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Zip | 62230-3510
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Country | US
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Telephone | 618-526-8850
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Fax | 618-526-8852
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Provider Business Mailing Address
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Address Line | 9423 HOLY CROSS LN SUITE 111
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City | BREESE
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State | IL
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Zip | 62230-3510
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Country | US
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Telephone | 618-526-8850
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Fax | 618-526-8852
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL ROCCO MORRA
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Credential | MD
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Telephone | 618-526-8850
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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 |
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License Number State | IL
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