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General NPI Number Information
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NPI Number | 1801847728
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Entity Type | Organization
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Legal Business Name | CENTER FOR PEDIATRIC SURGERY LTD
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 4200 W UNIVERSITY DR STE 110
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City | PROSPER
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State | TX
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Zip | 75078-9805
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Country | US
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Telephone | 972-300-0215
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Fax | 972-300-0231
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Provider Business Mailing Address
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Address Line | PO BOX 731115
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City | DALLAS
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State | TX
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Zip | 75373-1115
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Country | US
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Telephone | 972-300-0237
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Fax | 972-300-0231
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GAYLE MARIE CAILLIER
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Credential |
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Telephone | 972-300-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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