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A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Primary Care |
261QP2300X |
| NPI # | 1326435199 |
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| LBN Legal business name | FOREVER KIDS PEDIATRIC CLINIC | ||||||||||||
| Authorized official | LACY BURKES - (PEDIATRIC NURSE PRACTITIONER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/20/2015 | ||||||||||||
| Last updated | 01/26/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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FOREVER KIDS PEDIATRIC CLINIC