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General NPI Number Information
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NPI Number | 1437594017
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Entity Type | Organization
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Legal Business Name | V & M PEDIATRICS
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 12005 BEE CAVE RD SUITE 2A
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City | BEE CAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 512-921-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 12005 BEE CAVE RD SUITE 2A
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City | BEE CAVE
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State | TX
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Zip | 78738
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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 | PEDIATRICIAN
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Name | DR. JESSICA MORGAN
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Credential | M.D.
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Telephone | 512-921-8404
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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 | N5888
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License Number State | TX
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