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General NPI Number Information
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NPI Number | 1821864992
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Entity Type | Organization
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Legal Business Name | CURO PEDIATRICS, PLLC
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 835 7TH ST STE 3
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City | CLERMONT
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State | FL
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Zip | 34711-2190
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Country | US
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Telephone | 352-604-0469
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Fax | 352-204-1070
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Provider Business Mailing Address
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Address Line | PO BOX 120516
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City | CLERMONT
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State | FL
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Zip | 34712-0516
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Country | US
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Telephone | 352-604-0469
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Fax | 352-204-1070
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Authorized Official
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Title or Position | PEDIATRICIAN/OWNER
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Name | DR. CONNIE FAUNTLEROY
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Credential | MD
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Telephone | 307-448-0464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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