Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1700165743 |
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| LBN Legal business name | CHILDRENS PHYSICIANS CLINIC | ||||
| Authorized official | RACHEL ANTHONY - (PEDIATRIC NURSE PRACTITIONER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/09/2011 | ||||
| Last updated | 08/09/2011 - About 15 years ago | ||||
| Identifiers |
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