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General NPI Number Information
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NPI Number | 1639840325
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Entity Type | Organization
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Legal Business Name | A PLUS PEDIATRICS PLLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 3155 CITRUS TOWER BLVD
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City | CLERMONT
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State | FL
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Zip | 34711-6803
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Country | US
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Telephone | 352-242-1500
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Fax | 353-242-0053
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Provider Business Mailing Address
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Address Line | 3155 CITRUS TOWER BLVD
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City | CLERMONT
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State | FL
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Zip | 34711-6803
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Country | US
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Telephone | 352-242-1500
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Fax | 352-242-0053
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LEROY O HARRISON
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Credential |
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Telephone | 352-557-4965
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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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