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General NPI Number Information
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NPI Number | 1972765634
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Entity Type | Organization
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Legal Business Name | NEONATAL SPECIALISTS, PC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 7 MEDICAL PKWY
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City | DALLAS
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State | TX
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Zip | 75234-7829
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Country | US
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Telephone | 972-888-7238
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Fax |
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Provider Business Mailing Address
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Address Line | 6333 E MOCKINGBIRD LN SUITE 147-806
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City | DALLAS
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State | TX
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Zip | 75214-2692
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Country | US
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Telephone | 972-740-9972
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MONICA AURORA CABRA
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Credential | NNP
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Telephone | 972-740-9972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 544780
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License Number State | TX
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