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General NPI Number Information
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NPI Number | 1427206002
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Entity Type | Organization
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Legal Business Name | CHILDREN FIRST PEDIATRICS, PA
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 1233 LANE AVE S
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6284
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Country | US
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Telephone | 904-786-9600
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Fax | 904-786-6036
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Provider Business Mailing Address
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Address Line | 1233 LANE AVE S
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City | JACKSONVILLE
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State | FL
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Zip | 32205-6284
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Country | US
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Telephone | 904-786-9600
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Fax | 904-786-6036
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Authorized Official
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Title or Position | PEDITRICIAN/PRESIDENT
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Name | DR. MARIA TERESA VALDES
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Credential | M.D.
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Telephone | 904-786-9600
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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 | 53283
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License Number State | FL
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