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General NPI Number Information
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NPI Number | 1467602755
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Entity Type | Organization
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Legal Business Name | CHILDRENS ACUTE CARE INC
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 1 SAINT MARY PL BOX 40
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City | SHREVEPORT
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State | LA
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Zip | 71101-4343
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Country | US
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Telephone | 318-681-6433
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Fax | 318-681-6448
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Provider Business Mailing Address
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Address Line | 1333 N BUFFALO DR SUITE 290
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City | LAS VEGAS
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State | NV
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Zip | 89128-3636
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Country | US
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Telephone | 702-395-7095
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Fax | 702-395-3502
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK R GIOIA
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Credential | MD
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Telephone | 702-395-7095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number |
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License Number State |
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