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General NPI Number Information
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NPI Number | 1528230331
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Entity Type | Organization
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Legal Business Name | DENTON PEDIATRIC PHYSICIANS PLLC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 3537 S I-35 E SUITE 207
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City | DENTON
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State | TX
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Zip | 76210-6800
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Country | US
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Telephone | 940-565-1222
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Fax | 940-565-1220
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Provider Business Mailing Address
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Address Line | 3537 S I-35 E SUITE 207
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City | DENTON
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State | TX
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Zip | 76210-6800
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Country | US
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Telephone | 940-565-1222
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Fax | 940-565-1220
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFF HENDERSON
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Credential |
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Telephone | 972-401-8720
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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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