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General NPI Number Information
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NPI Number | 1780524322
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Entity Type | Organization
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Legal Business Name | PEDIATRIC CONNECTIONS PLLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 201 E ACADEMY ST STE 103
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2248
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Country | US
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Telephone | 984-381-5778
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Fax | 919-285-2475
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Provider Business Mailing Address
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Address Line | 201 E ACADEMY ST STE 103
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2248
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Country | US
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Telephone | 984-381-5778
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Fax | 919-285-2475
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | MICHELLE THOMPSON
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Credential | MS CCC-SLP
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Telephone | 984-381-5778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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