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General NPI Number Information
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NPI Number | 1831131556
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Entity Type | Organization
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Legal Business Name | CHILDREN FIRST PEDIATRICS
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 2301 RESEARCH BLVD SUITE 115
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City | ROCKVILLE
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State | MD
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Zip | 20850-3204
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Country | US
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Telephone | 301-990-1664
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Fax | 301-990-0471
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Provider Business Mailing Address
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Address Line | 2301 RESEARCH BLVD SUITE 115
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City | ROCKVILLE
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State | MD
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Zip | 20850-3204
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Country | US
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Telephone | 301-990-1664
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Fax | 301-990-0471
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CYNTHIA L FISHMAN
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Credential | M.D.
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Telephone | 301-990-1664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0067397
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0047666
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License Number State | MD
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