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General NPI Number Information
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NPI Number | 1326278375
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Entity Type | Organization
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Legal Business Name | PEDIATRIX EMERGENT AND CRITICAL CARE SERVICES, L.L.C.
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 3001 E PRESIDENT GEORGE BUSH HWY SUITE 250
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City | RICHARDSON
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State | TX
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Zip | 75082-3542
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Country | US
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Telephone | 800-243-3839
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Fax | 954-858-0434
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax | 954-858-0434
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Authorized Official
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Title or Position | AUTHORIZED SIGNATORY
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Name | MR. TONY LACAZE
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Credential |
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Telephone | 888-822-2855
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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 |
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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