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General NPI Number Information
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NPI Number | 1730885534
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Entity Type | Organization
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Legal Business Name | ON CALL PEDIATRICS PLLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 12939 E 116TH ST N
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City | COLLINSVILLE
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State | OK
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Zip | 74021-5278
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Country | US
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Telephone | 918-716-5437
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Fax | 539-202-5020
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Provider Business Mailing Address
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Address Line | 12939 E 116TH ST N
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City | COLLINSVILLE
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State | OK
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Zip | 74021-5278
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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 | MANAGER/OWNER/PHYSICIAN
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Name | ELIZABETH BADER
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Credential |
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Telephone | 918-716-5437
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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 | 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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