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General NPI Number Information
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NPI Number | 1598279812
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Entity Type | Organization
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Legal Business Name | WP PEDIATRICS LLC
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 2340 GLENWOOD DR
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City | WINTER PARK
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State | FL
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Zip | 32792
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Country | US
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Telephone | 407-975-0681
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Fax | 407-975-0683
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Provider Business Mailing Address
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Address Line | 2340 GLENWOOD DR
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City | WINTER PARK
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State | FL
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Zip | 32792-3314
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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 | MGR
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Name | DR. DHABIA F AL-NAJJAR
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Credential | MD
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Telephone | 407-975-0681
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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