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General NPI Number Information
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NPI Number | 1780183442
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Entity Type | Organization
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Legal Business Name | KID APPROVED PEDIATRICS PLLC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 11875 COIT ROAD SUITE 100
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-787-0044
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Fax | 214-382-0065
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Provider Business Mailing Address
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Address Line | 11875 COIT ROAD SUITE 100
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City | FRISCO
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State | TX
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Zip | 75035
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Country | US
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Telephone | 972-787-0044
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Fax | 214-382-0065
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Authorized Official
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Title or Position | OWNER
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Name | LILYAN BLATT
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Credential | DO
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Telephone | 972-787-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 781962
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L8525
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License Number State | TX
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