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General NPI Number Information
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NPI Number | 1407766280
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Entity Type | Organization
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Legal Business Name | POP-UP PEDIATRICS, LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 785 MIX AVE APT C
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City | HAMDEN
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State | CT
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Zip | 06514-2126
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Country | US
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Telephone | 203-809-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 DIXWELL AVE STE 2 1042
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City | HAMDEN
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State | CT
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Zip | 06514-2100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THERESA HOWARD
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Credential |
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Telephone | 203-809-6871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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