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General NPI Number Information
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NPI Number | 1851265664
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Entity Type | Organization
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Legal Business Name | FIREFLY PEDIATRICS OF KEMP
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1222 S ELM ST
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City | KEMP
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State | TX
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Zip | 75143-7708
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Country | US
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Telephone | 903-275-6832
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | KEMP
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State | TX
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Zip | 75143-0326
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Country | US
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Telephone | 903-275-6832
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JENNIFER CLEARMAN
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Credential | APRN,CPNP
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Telephone | 903-275-6832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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