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General NPI Number Information
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NPI Number | 1821997388
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Entity Type | Organization
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Legal Business Name | MEADOW GROVE PEDIATRICS PLLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 200 S UNION ST
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City | SPENCERPORT
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State | NY
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Zip | 14559-1444
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Country | US
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Telephone | 585-536-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 28 SARAH CIR
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City | SPENCERPORT
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State | NY
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Zip | 14559-9591
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Country | US
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Telephone | 585-536-1071
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. DANIELLE RENODIN-MEAD
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Credential | DO
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Telephone | 585-636-1071
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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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