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General NPI Number Information
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NPI Number | 1609042647
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY PEDIATRICS, INC.
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 1516 YANKEE PARK PL
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City | CENTERVILLE
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State | OH
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Zip | 45458-1878
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Country | US
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Telephone | 937-438-1115
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Fax | 937-424-4721
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Provider Business Mailing Address
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Address Line | 1516 YANKEE PARK PL
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City | CENTERVILLE
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State | OH
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Zip | 45458-1878
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Country | US
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Telephone | 937-438-1115
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Fax | 937-424-4721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT PAUL MYERS
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Credential | D.O.
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Telephone | 937-438-1115
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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 | 34003507M
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License Number State | OH
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