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General NPI Number Information
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NPI Number | 1629924394
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Entity Type | Organization
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Legal Business Name | NIGHT SHIFT PEDIATRICS LLC
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 2530 JACKS RD
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City | DAVENPORT
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State | FL
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Zip | 33897-8007
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Country | US
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Telephone | 931-993-1277
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Fax |
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Provider Business Mailing Address
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Address Line | 25962 HIGH HAMPTON CIR
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City | SORRENTO
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State | FL
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Zip | 32776-7772
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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 | FOUNDER
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Name | DR. ROBERT KYLE WISER
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Credential |
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Telephone | 931-993-1277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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