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General NPI Number Information
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NPI Number | 1336884097
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Entity Type | Organization
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Legal Business Name | A TO Z PEDIATRICS
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 50 BELLEFONTAINE ST STE 201
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City | PASADENA
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State | CA
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Zip | 91105-3132
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Country | US
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Telephone | 626-389-2869
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Fax |
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Provider Business Mailing Address
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Address Line | 166 N MYRTLE AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2241
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Country | US
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Telephone | 973-714-3488
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLYSON SELF-STOICO
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Credential | MD
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Telephone | 626-389-2869
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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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