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General NPI Number Information
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NPI Number | 1649248501
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Entity Type | Organization
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Legal Business Name | VILLAGE PEDIATRICS, LLC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | ONE PEARL STREET SUITE 2000
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City | BROCKTON
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State | MA
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Zip | 02301-2865
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Country | US
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Telephone | 508-894-8577
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Fax | 508-894-8578
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Provider Business Mailing Address
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Address Line | ONE PEARL STREET SUITE 2000
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City | BROCKTON
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State | MA
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Zip | 02301-2865
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Country | US
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Telephone | 508-894-8577
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Fax | 508-894-8578
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID M HOWELL
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Credential | M.D.
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Telephone | 508-894-8577
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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