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General NPI Number Information
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NPI Number | 1841127560
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Entity Type | Organization
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Legal Business Name | CHILDREN'S PEDIATRICIANS & ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 4601 N PARK AVE APT 8C
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4574
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Country | US
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Telephone | 301-565-2745
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 744787
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City | ATLANTA
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State | GA
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Zip | 30374-4787
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Country | US
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Telephone | 301-572-6284
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Fax |
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Authorized Official
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Title or Position | DIR OF PFS
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Name | ROBERT JAMES GRADY SR.
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Credential |
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Telephone | 301-572-6284
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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 |
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License Number State |
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