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General NPI Number Information
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NPI Number | 1528645645
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Entity Type | Organization
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Legal Business Name | LITTLE PANDAS PEDIATRIC URGENT CARE LLC
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 3339 FAIRVIEW ST
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City | PASADENA
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State | TX
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Zip | 77504-1903
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Country | US
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Telephone | 281-300-0836
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Fax |
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Provider Business Mailing Address
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Address Line | 702 OLD OYSTER TRL
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City | SUGAR LAND
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State | TX
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Zip | 77478-4498
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Country | US
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Telephone | 281-300-0836
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. RENE MAI
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Credential | MD
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Telephone | 281-300-0836
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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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