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General NPI Number Information
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NPI Number | 1427868355
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Entity Type | Organization
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Legal Business Name | GROWING TOGETHER PEDIATRICS, LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1171 CLIFF ROSE DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-2808
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Country | US
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Telephone | 407-770-1414
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Fax | 407-447-8876
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Provider Business Mailing Address
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Address Line | 5164 CONWAY RD
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City | ORLANDO
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State | FL
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Zip | 32812-1252
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Country | US
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Telephone | 407-770-1414
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Fax | 407-447-8876
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Authorized Official
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Title or Position | CEO
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Name | ALAN JAMES MCHAFFIE
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Credential |
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Telephone | 407-770-1414
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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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