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Individual

ADA BOOTH

Active
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Individual

ADA BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006017751
MO
208000000X
Pediatrics Physician
35.093974
OH
208000000X
Pediatrics Physician
P0350
TX
2080C0008X
Child Abuse Pediatrics Physician
Primary
70232
CT
2080C0008X
Child Abuse Pediatrics Physician
P0350
TX

Other

Enumeration date
09/15/2006
Last updated
01/05/2026
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