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General NPI Number Information
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NPI Number | 1447964846
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Entity Type | Organization
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Legal Business Name | HELLO PEDIATRICS MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 13135 ROUTE 50 STE 300
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City | FAIRFAX
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State | VA
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Zip | 22033-1907
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Country | US
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Telephone | 855-576-8745
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Fax | 888-494-1094
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Provider Business Mailing Address
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Address Line | 1 PENN PLZ STE 2705
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City | NEW YORK
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State | NY
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Zip | 10119-2600
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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 | AUTHORIZED PERSON
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Name | MR. PAUL PORTSMORE
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Credential |
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Telephone | 855-576-8745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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