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PEDSPLUS PEDIATRICS PRIMARY CARE LLC NPI 1295186468


NPI Information

NPI: 1295186468
Provider Name: PEDSPLUS PEDIATRICS PRIMARY CARE, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D2122919

Address:
621 JEFFERSON DAVIS HWY UNIT 11B
FREDERICKSBURG, VA
ZIP 22401
Phone: (347) 751-3641
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PEDSPLUS PEDIATRICS PRIMARY CARE, LLC is a pediatrics in Fredericksburg, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDSPLUS PEDIATRICS PRIMARY CARE, LLC NPI is 1295186468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 JEFFERSON DAVIS HWY UNIT 11B
FREDERICKSBURG, VA
ZIP 22401-567
Phone: (347) 751-3641

The provider's authorized official is Jean Laurore .
The authorized official title is Manager and has the following contact phone number (347) 751-3641.

The CLIA number assigned to this NPI record is 49D2122919 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/28/2016 and was last updated on 6/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0101243632VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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