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General NPI Number Information
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NPI Number | 1306890140
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Entity Type | Organization
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Legal Business Name | ALL ABOUT KIDS PEDIATRICS
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8961 CONROY WINDERMERE RD
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City | ORLANDO
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State | FL
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Zip | 32835-3127
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Country | US
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Telephone | 407-354-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 COMMODITY CIR
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City | ORLANDO
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State | FL
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Zip | 32819-9001
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Country | US
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Telephone | 407-354-0717
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. A.J. MCHAFFIE
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Credential |
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Telephone | 407-354-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME94530
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License Number State | FL
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