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General NPI Number Information
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NPI Number | 1003975616
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Entity Type | Individual
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Provider Name | ANNALISA PASTORE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 60 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-6583
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Country | US
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Telephone | 201-308-5326
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Fax |
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Provider Business Mailing Address
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Address Line | 60 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-6583
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 227125
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 227125
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License Number State | NY
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