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General NPI Number Information
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NPI Number | 1023281532
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Entity Type | Individual
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Provider Name | DEBORAH JEAN ACCETTA PEDERSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 12/12/2012
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Provider Practice Location Address
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Address Line | 101 INDUSTRIAL PARK RD SUITE 307
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City | TAUNTON
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State | MA
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Zip | 02780-7393
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Country | US
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Telephone | 508-880-3121
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Fax | 508-880-0926
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Provider Business Mailing Address
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Address Line | 101 INDUSTRIAL PARK RD SUITE 307
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City | TAUNTON
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State | MA
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Zip | 02780-7393
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Country | US
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Telephone | 508-880-3121
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Fax | 508-880-0926
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 246209
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125049414
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License Number State | IL
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