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General NPI Number Information
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NPI Number | 1417461500
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Entity Type | Organization
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Legal Business Name | DR ALBERT OBIOZO PEDIATRICS INC
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 615 THOMPSON AVE
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City | EL DORADO
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State | AR
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Zip | 71730-4557
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Country | US
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Telephone | 870-444-5147
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Fax | 870-444-5129
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Provider Business Mailing Address
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Address Line | 615 THOMPSON AVE
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City | EL DORADO
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State | AR
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Zip | 71730-4557
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Country | US
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Telephone | 870-444-5147
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Fax | 870-444-5129
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Authorized Official
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Title or Position | MANAGER
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Name | MR. HABIB KHAN
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Credential |
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Telephone | 512-201-6766
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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 | E-7665
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License Number State | AR
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