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General NPI Number Information
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NPI Number | 1679437891
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Entity Type | Organization
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Legal Business Name | NATIVITY PEDIATRICS PA
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6100 GRIFFIN RD STE 311
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City | DAVIE
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State | FL
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Zip | 33314-4416
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Country | US
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Telephone | 954-737-6538
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Fax |
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Provider Business Mailing Address
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Address Line | 861 NW 66TH AVE
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City | PLANTATION
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State | FL
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Zip | 33317-1235
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Country | US
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Telephone | 954-737-6538
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Fax | 954-824-8409
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | PAOLA PARE
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Credential | DO
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Telephone | 954-737-6538
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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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