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General NPI Number Information
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NPI Number | 1497513923
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Entity Type | Organization
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Legal Business Name | NORTHWEST PEDIATRIC CARE
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 3950 COBB PKWY NW STE 801
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City | ACWORTH
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State | GA
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Zip | 30101-9524
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Country | US
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Telephone | 678-889-0487
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Fax | 866-493-3521
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Provider Business Mailing Address
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Address Line | 3950 COBB PKWY NW STE 801
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City | ACWORTH
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State | GA
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Zip | 30101-9524
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Country | US
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Telephone | 678-889-0487
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Fax | 866-493-3521
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | TOYCINA FIGARO
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Credential | MD
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Telephone | 917-696-6256
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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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