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General NPI Number Information
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NPI Number | 1801502414
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Entity Type | Organization
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Legal Business Name | POCKET PEDIATRICS PA
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3253 SW 121ST WAY
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City | GAINESVILLE
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State | FL
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Zip | 32608-0225
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Country | US
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Telephone | 727-457-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 3253 SW 121ST WAY
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City | GAINESVILLE
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State | FL
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Zip | 32608-0225
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Country | US
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Telephone | 727-457-0101
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Fax |
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Authorized Official
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Title or Position | OWNER/DEVELOPMENTAL THERAPIST
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Name | CARMELA M JONES
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Credential | RN
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Telephone | 727-457-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 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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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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