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General NPI Number Information
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NPI Number | 1326785551
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Entity Type | Organization
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Legal Business Name | HEALTHY KIDZ
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 10410 PARK RD STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28210-6568
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Country | US
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Telephone | 704-540-6860
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Fax | 704-659-4194
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Provider Business Mailing Address
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Address Line | 10410 PARK RD STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28210-6568
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Country | US
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Telephone | 704-540-6860
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Fax | 704-659-4194
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Authorized Official
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Title or Position | MD
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Name | POORNIMA BADDI
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Credential | MD
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Telephone | 573-891-9127
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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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